Carl William Churchman JR. DDS

NPI 1861576324 - Dentist - 1223G0001X

NPI Details
NPI 1861576324
Gender Male
Enumeration Date 10/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3425 LOUISIANA AVENUE
LAKE CHARLES LA, 70607-1851, US
Phone (337) 477-5043
Fax (337) 477-5085
Business Location
3425 LOUISIANA AVENUE
LAKE CHARLES LA, 70607-1851, US
Phone (337) 477-5043
Fax (337) 477-5085
Toxanomy
Taxonomy Code 1223G0001X
License State Louisiana
License Number 5557
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According to our database, Dr. Carl William Churchman JR. DDS NPI is 1861576324, taxonomy code is 1223G0001X and license number is 5557, license state is located at Louisiana. Carl William Churchman JR. DDS physically located at 3425 Louisiana Avenue, Lake Charles LA, 70607-1851. NPI Number Carl William Churchman JR. DDS has the Individual type.

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1861576324 NPI number is provided on an as is basis without warranty of any kind. 1861576324 is maintained by the National Plan & Provider Enumeration System. The contents of Carl William Churchman JR. DDS are for informational purposes only.