Organization
R. MICHAEL WARREN, D.D.S., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MICHAEL WARREN D.D.S. (DENTIST)
(318) 256-3641
Entity
Organization
Contact information
Practice address
695 SAN ANTONIO AVE, MANY, LA 71449-3018
(318) 256-3641
Mailing address
695 SAN ANTONIO AVE, MANY, LA 71449-3018
(318) 256-3641
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4744
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1847445
—
LA
01
—
717644
UNITED CONCORDIA
LA
Enumeration date
10/05/2006
Last updated
08/22/2020
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