Individual
DR. RICHARD EUGENE BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
613 MAPLE ST, OAKDALE, LA 71463-3135
(318) 335-0666
Mailing address
613 MAPLE ST, OAKDALE, LA 71463-3135
(318) 335-0666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1823
LA
Other
Enumeration date
02/25/2007
Last updated
07/08/2007
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