Individual provider · NPI-1

Casey Bryant Bargas, D.D.S

Dentist, Endodontics · Lake Charles, LA

NPI number1386969558
StatusActive
Last updated in NPPESDec 10, 2013

Details

NPI
1386969558
Entity type
Individual (NPI-1)
Name
Casey Bryant Bargas
Credential
D.D.S
Sex
Male
Sole proprietor
No
Enumeration date
Mar 31, 2010
Last updated
Dec 10, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223E0200X Dentist, Endodontics6086LAYes

Practice location

2640 Country Club Rd
300
Lake Charles, LA 70605-5912

Phone 337-564-6885 · Fax 337-564-6907

Mailing address

616 W Sallier St
Lake Charles, LA 70601-5759

Phone 225-279-0505

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