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Organization
GRAND FAMILY DENTISTRY ABITA SPRINGS LLC
Active
Organization
GRAND FAMILY DENTISTRY ABITA SPRINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY COTTON (ACCOUNTANT)
(985) 778-0096
Entity
Organization
Contact information
Practice address
22464 LA HWY 435, ABITA SPRINGS, LA 70420-2206
(985) 893-7835
(985) 778-0301
Mailing address
700 ASBURY DR, MANDEVILLE, LA 70471-1844
(985) 778-0096
(985) 778-0301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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