Organization
CLAYTON J. CHARBONNET JR.,D.D.S.,A.P.O.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAYTON J. CHARBONNET JR. D.D.S. (DOCTOR)
(985) 867-3636
Entity
Organization
Contact information
Practice address
61 PARK PLACE DR, SUITE B, COVINGTON, LA 70433-5290
(985) 867-3636
Mailing address
61 PARK PLACE DR, SUITE B, COVINGTON, LA 70433-5290
(985) 867-3636
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2349
LA
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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