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Organization
RABORN DENTAL GREENWELL SPRINGS LLC
Active
Organization
RABORN DENTAL GREENWELL SPRINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY RABORN DDS (MANAGER/ MEMBER)
(225) 405-4997
Entity
Organization
Contact information
Practice address
14127 GREENWELL SPRINGS RD, GREENWELL SPRINGS, LA 70739-3305
(225) 460-2165
Mailing address
7604 CLARET AVE, BATON ROUGE, LA 70809-1584
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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