Comeaux, Mark Randal
Comeaux, Mark Randal is an individual health care provider with primary practice located at 3839 West Congress Street Suite D, Lafayette LA 70506-6021. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Comeaux, Mark Randal can be contacted via phone (337) 989-0267.Contact Information
Primary practice address
3839 West Congress Street Suite D
Lafayette LA 70506-6021
Phone: (337) 989-0267
Fax: (337) 989-9030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 3129 | Louisiana |
Profile Details
| NPI number | 1083739486 |
|---|---|
| LBN Legal business name | Comeaux, Mark Randal |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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