Individual provider · NPI-1

Dr. Christy Drum Ammons, D.D.S.

Dentist · Lake Charles, LA

NPI number1790700516
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1790700516
Entity type
Individual (NPI-1)
Name
Dr. Christy Drum Ammons
Credential
D.D.S.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 13, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist4614LAYes

Practice location

214 W Mcneese St
Lake Charles, LA 70605-5639

Phone 337-478-0870 · Fax 337-478-0891

Mailing address

214 W Mcneese St
Lake Charles, LA 70605-5639

Phone 337-478-0870 · Fax 337-478-0891

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