Mark Randal Comeaux DDS

NPI 1083739486 - Dentist - 1223P0300X

NPI Details
NPI 1083739486
Gender Male
Enumeration Date 03/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3839 WEST CONGRESS STREET
SUITE D
LAFAYETTE LA, 70506-6021, US
Phone (337) 989-0267
Fax (337) 989-9030
Business Location
3839 WEST CONGRESS STREET
SUITE D
LAFAYETTE LA, 70506-6021, US
Phone (337) 989-0267
Fax (337) 989-9030
Toxanomy
Taxonomy Code 1223P0300X
License State Louisiana
License Number 3129
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According to our database, Dr. Mark Randal Comeaux DDS NPI is 1083739486, taxonomy code is 1223P0300X and license number is 3129, license state is located at Louisiana. Mark Randal Comeaux DDS physically located at 3839 West Congress Street, Lafayette LA, 70506-6021. NPI Number Mark Randal Comeaux DDS has the Individual type.

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1083739486 NPI number is provided on an as is basis without warranty of any kind. 1083739486 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Randal Comeaux DDS are for informational purposes only.