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Charlie P. Ilawan, Dds, Apdc
General Practice Dentistry in Bogalusa, Louisiana
NPI 1578777108

Charlie P. Ilawan, Dds, Apdc is a General Practice Dentistry based in Bogalusa, LA and is specialized in General Practice. Charlie P. Ilawan, Dds, Apdc practices in Bogalusa, LA. The NPI Number for Charlie P. Ilawan, Dds, Apdc is 1578777108 and holds a License No. 4361 (Louisiana).

The current practice location address for Charlie P. Ilawan, Dds, Apdc is 400 Louisiana Ave, Bogalusa, LA and can be reached out via phone at 985-735-7372 and via fax at 985-732-5944.

Location: 400 Louisiana Ave, Bogalusa, LA, 70427-3323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578777108
Provider Name
Charlie P. Ilawan, Dds, Apdc
Credential
Provider Entity Type
Organization
Address
400 Louisiana Ave, Bogalusa, LA, 70427-3323
Phone Number
985-735-7372
Fax Number
985-732-5944
Provider Enumeration Date
05/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1880949 05 LA
09014606 05 MS
971021 01 LA UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
400 Louisiana Ave
City
Bogalusa
State
Louisiana
Zip
70427-3323
Phone Number
985-735-7372
Fax Number
985-732-5944
person
Provider Business Mailing Address Details
Address
400 Louisiana Ave
City
Bogalusa
State
Louisiana
Zip
70427-3323
Phone Number
985-735-7372
Fax Number
985-732-5944
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
4361 (Louisiana)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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