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Organization
BRUSH: A FAMILY DENTISTRY LLC
Active
Organization
BRUSH: A FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEREA B RACHAL DMD (OWNER)
(318) 542-4004
Entity
Organization
Contact information
Practice address
2227 WORLEY DR, ALEXANDRIA, LA 71301-3631
(318) 542-4004
Mailing address
PO BOX 12848, ALEXANDRIA, LA 71315-2848
(318) 540-4004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5913
LA
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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