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Organization

LYNN FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRACE LANIER LYNN D.D.S. (DENTIST)
(337) 625-9911
Entity
Organization

Contact information

Practice address
3107 MAPLEWOOD DR, SULPHUR, LA 70663-6201
(337) 625-9911
Mailing address
3107 MAPLEWOOD DR, SULPHUR, LA 70663-6201
(337) 625-9911

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LA5970
LA

Other

Enumeration date
11/18/2015
Last updated
11/18/2015
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