Individual
DR. CHARLES CLAY COUVILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5436 COMMERCE, ST FRANCISVILLE, LA 70775
(225) 635-4422
(225) 635-2171
Mailing address
PO BOX 2880, 5436 COMMERCE, SAINT FRANCISVILLE, LA 70775-2880
(225) 635-4422
(225) 635-2171
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5558
LA
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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