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Churchman Family Dentistry

Dentist, General Practice in Lake Charles, LA. Organization (NPI-2).

NPI number1194934612
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1194934612
Entity type
Organization (NPI-2)
Legal business name
Churchman Family Dentistry
Organization subpart
No
Enumeration date
May 21, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice4539LAYes

Practice location

150 W Prien Lake Rd
Lake Charles, LA 70601-8578

Phone 337-478-1700 · Fax 337-474-2449

Mailing address

150 W Prien Lake Rd
Lake Charles, LA 70601-8578

Phone 337-478-1700 · Fax 337-474-2449

Authorized official

James Richard Churchman
Owner
3374781700

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