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Individual

DR. CHARLES LYNN NAUL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
622 SHADOWS LANE, SUITE C, BATON ROUGE, LA 70806-6532
(225) 927-6570
(225) 927-6578
Mailing address
622 SHADOWS LANE, SUITE C, BATON ROUGE, LA 70806-6532
(225) 927-6570

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2149
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1821497
LA
Enumeration date
10/04/2006
Last updated
07/08/2007
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