Individual
DR. DARREN WADE CHAUMONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4001 LOUISIANA AVE, LAKE CHARLES, LA 70607-4634
(337) 477-8931
Mailing address
5808 DUNDEE ST, LAKE CHARLES, LA 70605-7126
(337) 477-0545
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5627
LA
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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