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Individual

DR. PETER T. BAYLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
824 W 4TH ST, DEQUINCY, LA 70633-3321
(337) 786-6221
(337) 786-6223
Mailing address
824 W 4TH ST, DEQUINCY, LA 70633-3321
(337) 786-6221
(337) 786-6223

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3756
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1837563
LA
Enumeration date
07/27/2006
Last updated
06/04/2015
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