Individual
DR. MARK WESLEY GARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1515 CHURCH ST, ZACHARY, LA 70791-2748
(225) 654-7760
Mailing address
1515 CHURCH ST, ZACHARY, LA 70791-2748
(225) 654-7760
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3912
LA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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