Individual
DR. MITOU A LEMAIRE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
712 WILLIS AVE, BOGALUSA, LA 70427-3004
(985) 732-5321
(985) 735-1884
Mailing address
712 WILLIS AVE, BOGALUSA, LA 70427-3004
(985) 732-5321
(985) 735-1884
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5254
LA
Other
Enumeration date
01/26/2006
Last updated
07/08/2007
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