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Individual

DR. DAVID W MERMILLIOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2030 DICKORY AVE, SUITE 100, HARAHAN, LA 70123-5816
(504) 737-3525
Mailing address
2030 DICKORY AVE STE 100, HARAHAN, LA 70123-8519
(504) 737-3525

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5196
LA

Other

Enumeration date
10/05/2006
Last updated
07/08/2007
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