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Organization

H. LANCE DONALD DDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HENRY LANCE DONALD DDS (PRESIDENT/ENDODONTIST)
(318) 324-0080
Entity
Organization

Contact information

Practice address
106 PROFESSIONAL DR, WEST MONROE, LA 71291-5332
(318) 324-0080
(318) 324-0087
Mailing address
106 PROFESSIONAL DR, WEST MONROE, LA 71291-5332
(318) 324-0080
(318) 324-0087

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
4777
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1847763
LA
Enumeration date
09/06/2012
Last updated
09/06/2012
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