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Individual

DR. CHARLES JAMES ARDOIN II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
4985 HIGHWAY 27 S, SULPHUR, LA 70665-7571
(337) 583-2756
(337) 583-9031
Mailing address
4985 HIGHWAY 27 S, SULPHUR, LA 70665-7571
(337) 583-2756
(337) 583-9031

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4041
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1840416
LA
Enumeration date
10/12/2006
Last updated
07/09/2007
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