Individual
DR. DENNIS EDWARD DONALD I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
627 W COLLEGE ST, LAKE CHARLES, LA 70605-1521
(337) 478-3646
(337) 478-2853
Mailing address
627 W COLLEGE ST, LAKE CHARLES, LA 70605-1521
(337) 478-3646
(337) 478-2853
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3076
LA
Other
Enumeration date
06/22/2005
Last updated
07/08/2007
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