Organization
DANIEL M. PERRY, D.D.S., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL MARK PERRY D.D.S. (OWNER)
(337) 478-0812
Entity
Organization
Contact information
Practice address
4301 LAKE ST, LAKE CHARLES, LA 70605-4309
(337) 478-0812
(337) 478-0893
Mailing address
4301 LAKE ST, LAKE CHARLES, LA 70605-4309
(337) 478-0812
(337) 478-0893
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LA 5652
LA
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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