Organization
DENTAL CARE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATRINEL JORDAN DDS (DENTIST/ OWNER)
(225) 673-1557
Entity
Organization
Contact information
Practice address
16270 AIRLINE HWY, STE. B, PRAIRIEVILLE, LA 70769-4589
(225) 673-1557
(225) 673-6815
Mailing address
16270 AIRLINE HWY, STE. B, PRAIRIEVILLE, LA 70769-4589
(225) 673-1557
(225) 673-6815
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6275
LA
Other
Enumeration date
11/07/2013
Last updated
01/09/2014
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