Organization · Type 2 NPI

Lake Area Dentistry- Moss Bluff

Dental Clinic/Center · Lake Charles, LA

NPI number 1528535960 Active

Practice location

644 N Highway 171
Lake Charles, LA 70611-5348

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1528535960

Lake Area Dentistry- Moss Bluff's National Provider Identifier is 1528535960, issued on Oct 24, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lake Charles, LA. The record was last updated on Oct 24, 2018.