Clark Michael Comeaux D.D.S.

NPI 1861452757 - Dentist - 1223S0112X

NPI Details
NPI 1861452757
Gender Male
Enumeration Date 03/24/2006
Last Updated 05/12/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
BLDG 38717 38TH STREET,
USA DENTAC,
FORT GORDON GA, 30905-5660, US
Phone (706) 787-1070
Fax
Business Location
BLDG 38717 38TH STREET,
USA DENTAC
FT GORDON GA, 30905-5660, US
Phone (706) 787-1070
Fax
Toxanomy
Taxonomy Code 1223S0112X
License State Louisiana
License Number 3666
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According to our database, Dr. Clark Michael Comeaux D.D.S. NPI is 1861452757, taxonomy code is 1223S0112X and license number is 3666, license state is located at Louisiana. Clark Michael Comeaux D.D.S. physically located at Bldg 38717 38th Street,, Fort Gordon GA, 30905-5660. NPI Number Clark Michael Comeaux D.D.S. has the Individual type.

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1861452757 NPI number is provided on an as is basis without warranty of any kind. 1861452757 is maintained by the National Plan & Provider Enumeration System. The contents of Clark Michael Comeaux D.D.S. are for informational purposes only.