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Organization
ALEXANDRIA ENDODONTICS, LLC
Active
Organization
ALEXANDRIA ENDODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL LESTER (DENTIST/OWNER)
(318) 443-5013
Entity
Organization
Contact information
Practice address
1431 PETERMAN DR, ALEXANDRIA, LA 71301-3433
(318) 443-5013
(318) 443-5014
Mailing address
1431 PETERMAN DR, ALEXANDRIA, LA 71301-3433
(318) 443-5013
(318) 443-5014
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5649
LA
1223E0200X
Endodontics
5790
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32371
—
LA
Enumeration date
07/11/2017
Last updated
07/21/2022
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