Lake Area Dentistry-Carlyss
NPI #1043706252 in Sulphur, Louisiana
Provider Information
- NPI Number
- 1043706252
- Entity Type
- Organization
- Organization Name
- Lake Area Dentistry-Carlyss
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jul 11, 2018
- Last Updated
- Jul 11, 2018
Practice Location
Authorized Official
- Name
- DR. JEFFERY HENNIGAN, DDS
- Title
- OWNER
- Phone
- (337) 478-8470
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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