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Organization

PERIODONTICS ASSOCIATES, LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK RANDAL COMEAUX DDS (PARTNER)
(337) 989-0267
Entity
Organization

Contact information

Practice address
3839 W CONGRESS ST, SUITE D, LAFAYETTE, LA 70506-6000
(337) 989-0267
(337) 989-9030
Mailing address
3839 W CONGRESS ST, SUITE D, LAFAYETTE, LA 70506-6000
(337) 989-0267
(337) 989-9030

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3129
LA

Other

Enumeration date
12/20/2006
Last updated
08/22/2020
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