Organization
RANDALL R PERRY DDS A PROFESSIONAL CORPORATION
Active
Other names
Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL R PERRY D.D.S. (OWNER)
(337) 474-0212
Entity
Organization
Contact information
Practice address
1430 W MCNEESE ST, LAKE CHARLES, LA 70605-4240
(337) 474-0212
(337) 478-3837
Mailing address
1430 W MCNEESE ST, LAKE CHARLES, LA 70605-4240
(337) 474-0212
(337) 478-3837
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3188
LA
Other
Enumeration date
11/09/2005
Last updated
08/22/2020
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