Individual
DR. RENE CHRISTOPHER DESSELLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1837 LEGLISE ST, MANSURA, LA 71350
(318) 964-2300
(318) 964-2302
Mailing address
1837 LEGLISE ST, PO BOX 250, MANSURA, LA 71350
(318) 964-2300
(318) 964-2302
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4064
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1840645
—
LA
Enumeration date
03/22/2006
Last updated
07/08/2007
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