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Dr. Lance E. Fallin, Apdc

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

NPI number1649335191
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1649335191
Entity type
Organization (NPI-2)
Legal business name
Dr. Lance E. Fallin, Apdc
Organization subpart
No
Enumeration date
Dec 26, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

1338 Church St
Zachary, LA 70791-2743

Phone 225-654-2212 · Fax 225-654-3170

Mailing address

1338 Church St
Zachary, LA 70791-2743

Phone 225-654-2212 · Fax 225-654-3170

Authorized official

Lance Everett Fallin
Owner
2256542212

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