Individual
DR. AUSTIN GRANT O'QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4750 NELSON RD, LAKE CHARLES, LA 70605-5385
(337) 513-6120
Mailing address
2195 SUTHERLAND RD, LAKE CHARLES, LA 70611-3711
(337) 513-6120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6896
LA
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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