DR. Mason Copeland Liles, DDS

NPI #1477127488 in Mangham, Louisiana

Provider Information

NPI Number: 1477127488
Entity Type: Individual
Name: DR. Mason Copeland Liles, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 14, 2021
Last Updated: May 14, 2021

Practice Location

Address: 4279 HIGHWAY 15
City: Mangham
State: Louisiana
ZIP Code: 71259-5189
Phone: (318) 248-4986

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

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