Individual
CODI ECHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 CYPRESS ST, WEST MONROE, LA 71291-7436
(318) 396-7471
Mailing address
3801 CYPRESS ST, WEST MONROE, LA 71291-7436
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7463
LA
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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