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Organization
PREMIER MOBILE DENTISTRY OF VA LLC
Active
Organization
PREMIER MOBILE DENTISTRY OF VA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL NUSS RABEL DDS (OWNER)
(225) 776-0006
Entity
Organization
Contact information
Practice address
6224 PROVINCE LN, BATON ROUGE, LA 70808-3574
(225) 324-5945
(225) 752-0196
Mailing address
6224 PROVINCE LN, BATON ROUGE, LA 70808-3574
(122) 532-4594
(225) 752-0196
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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