Individual
DR. CECILIA CHAN OUBRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2802 RYAN ST, SUITE 26, LAKE CHARLES, LA 70601-7393
(318) 219-5159
Mailing address
2802 RYAN ST, SUITE 26, LAKE CHARLES, LA 70601-7393
(318) 219-5159
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5960
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1812480
—
LA
Enumeration date
09/29/2009
Last updated
05/24/2010
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