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Individual

DR. MICHAEL GARNER VIENNE SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
129 E 5TH ST, NATCHITOCHES, LA 71457-5723
(318) 352-8751
(318) 352-9755
Mailing address
129 E 5TH ST, NATCHITOCHES, LA 71457-5723
(318) 352-8751
(318) 352-9755

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4381
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1843814
LA
Enumeration date
02/09/2007
Last updated
07/08/2007
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