Organization · NPI-2

Alan C Perry DDS (A Professional Dental Corporation)

Dentist, Orthodontics and Dentofacial Orthopedics · Lake Charles, LA

NPI number1124459110
StatusActive
Last updated in NPPESDec 12, 2013

Details

NPI
1124459110
Entity type
Organization (NPI-2)
Legal business name
Alan C Perry DDS (A Professional Dental Corporation)
Organization subpart
Yes
Enumeration date
Dec 2, 2013
Last updated
Dec 12, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics3016LAYes

Other names

  • Lake Charles Orthodontics (Doing Business As)

Practice location

1837 W Prien Lake Rd
Lake Charles, LA 70605-1223

Phone 337-478-4608

Mailing address

1837 West Prien Lake Road
Lake Charles, LA 70605

Phone 337-478-4608

Authorized official

Alan Carl Perry
Orthodontist
3374784608

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