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Organization
PALMER AND OBRIEN FAMILY DENTISTRY, LLC
Active
Organization
PALMER AND OBRIEN FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA LYMAN (INSURANCE COORDINATOR)
(318) 868-5726
Entity
Organization
Contact information
Practice address
6150 LINE AVE, SHREVEPORT, LA 71106-2051
(318) 868-5726
(318) 868-7546
Mailing address
6150 LINE AVE, SHREVEPORT, LA 71106-2051
(318) 868-5726
(318) 868-7546
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14481
—
LA
Enumeration date
10/09/2019
Last updated
10/09/2019
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