Individual
DR. SCOTT MARTIN HANNAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1540 COUNTRY CLUB RD, LAKE CHARLES, LA 70605-5324
(225) 571-9137
Mailing address
1540 COUNTRY CLUB RD, LAKE CHARLES, LA 70605-5324
(225) 571-9137
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6155
LA
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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