Individual
DR. A.C. LILES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1401 W ESPLANADE AVE, STE 816, KENNER, LA 70065-2845
(504) 467-4555
(504) 467-4586
Mailing address
1401 W ESPLANADE AVE, STE 816, KENNER, LA 70065-2845
(504) 467-4555
(504) 467-4586
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4634
LA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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