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Individual

MARK STEPHEN CHANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1407 S CARROLLTON AVE, NEW ORLEANS, LA 70118-2809
(504) 861-2523
(504) 866-6404
Mailing address
PO BOX 13276, NEW ORLEANS, LA 70185-3276
(504) 861-2523
(504) 866-6404

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4415
LA

Other

Enumeration date
10/04/2006
Last updated
07/08/2007
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