Organization
CHURCHMAN FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES RICHARD CHURCHMAN D.D.S. (OWNER)
(337) 478-1700
Entity
Organization
Contact information
Practice address
150 W PRIEN LAKE RD, LAKE CHARLES, LA 70601-8578
(337) 478-1700
(337) 474-2449
Mailing address
150 W PRIEN LAKE RD, LAKE CHARLES, LA 70601-8578
(337) 478-1700
(337) 474-2449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4539
LA
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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