Individual
DR. DAVID LEE EZERNACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2109 REDWOOD DR, MONROE, LA 71201-3629
(318) 325-7648
Mailing address
2109 REDWOOD DR, MONROE, LA 71201-3629
(318) 325-7648
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2708
LA
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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