Ronald Michael Short DDS

NPI 1023138849 - Dentist - 1223G0001X

NPI Details
NPI 1023138849
Gender Male
Enumeration Date 03/29/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1702 OAK PARK BLVD
LAKE CHARLES LA, 70601-8912, US
Phone (337) 310-1800
Fax (337) 310-1143
Business Location
630 W PRIEN LAKE RD
SUITE B223
LAKE CHARLES LA, 70601-0700, US
Phone (337) 310-1800
Fax (337) 310-1143
Toxanomy
Taxonomy Code 1223G0001X
License State Louisiana
License Number 2380
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According to our database, Dr. Ronald Michael Short DDS NPI is 1023138849, taxonomy code is 1223G0001X and license number is 2380, license state is located at Louisiana. Ronald Michael Short DDS physically located at 1702 Oak Park Blvd, Lake Charles LA, 70601-8912. NPI Number Ronald Michael Short DDS has the Individual type.

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1023138849 NPI number is provided on an as is basis without warranty of any kind. 1023138849 is maintained by the National Plan & Provider Enumeration System. The contents of Ronald Michael Short DDS are for informational purposes only.