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Individual

DR. KEITH JAMES LUMINAIS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
320 AUSTIN ST, BOGALUSA, LA 70427-3857
(985) 735-7653
(985) 735-7688
Mailing address
320 AUSTIN ST, BOGALUSA, LA 70427-3857
(985) 735-7653
(985) 735-7688

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5809
LA

Other

Enumeration date
05/23/2007
Last updated
02/06/2023
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