Individual
DR. DAVID DAUGHENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2900 SECOND AVENUE, LAKE CHARLES, LA 70601
(337) 474-3495
(337) 478-3422
Mailing address
2900 SECOND AVENUE, LAKE CHARLES, LA 70601
(337) 474-3495
(337) 478-3422
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3673
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1836137
—
LA
Enumeration date
10/04/2006
Last updated
07/08/2007
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