Individual
MARK ANDREW VENTRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
632 SHADOWS LN, SUITE B, BATON ROUGE, LA 70806-6532
(225) 926-8954
(225) 927-4055
Mailing address
632 SHADOWS LN, SUITE B, BATON ROUGE, LA 70806-6532
(225) 926-8954
(225) 927-4055
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5147
LA
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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