Dr. Mark Wesley Garon, dds
Dentist, Pediatric Dentistry in Zachary, LA. Individual provider (NPI-1).
NPI number1710071865
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1710071865
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark Wesley Garon
- Credential
- dds
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 3, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 3912 | LA | Yes |
Practice location
1515 Church StZachary, LA 70791-2748
Phone 225-654-7760
Mailing address
1515 Church StZachary, LA 70791-2748
Phone 225-654-7760
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