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Organization
FALLIN AND FALLIN FAMILY DENTISTRY COURSEY, LLC
Active
Organization
FALLIN AND FALLIN FAMILY DENTISTRY COURSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE E FALLIN DDS (PRESIDENT)
(225) 654-2212
Entity
Organization
Contact information
Practice address
13707 COURSEY BLVD, #A, BATON ROUGE, LA 70817-1306
(225) 752-5241
(225) 752-8691
Mailing address
13707 COURSEY BLVD, #A, BATON ROUGE, LA 70817-1306
(225) 752-5241
(225) 752-8691
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4954
LA
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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