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Organization

CANGELOSI FAMILY DENTISTRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD G CANGELOSI DDS (DENTIST)
(225) 292-3456
Entity
Organization

Contact information

Practice address
4220 BLUEBONNET BLVD, SUITE A, BATON ROUGE, LA 70809-9671
(225) 292-3456
(225) 291-2167
Mailing address
4220 BLUEBONNET BLVD, SUITE A, BATON ROUGE, LA 70809-9671
(225) 292-3456
(225) 291-2167

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4864
LA

Other

Enumeration date
12/27/2006
Last updated
02/26/2015
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