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Organization

DOCTORS ROBERT LEO REGAN, MICHAEL CHARLES CASADABAN AND DAVID A BULOT

Active
Other names
Fusion Implant Center
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTI WYATT (INSURANCE MANAGER)
(225) 766-5413
Entity
Organization

Contact information

Practice address
14169 HIGHWAY 73 UNIT A, PRAIRIEVILLE, LA 70769-3614
(225) 766-5413
Mailing address
5227 FLANDERS DR, BATON ROUGE, LA 70808-9169
(225) 769-3600
(225) 767-3275

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary

Other

Enumeration date
03/24/2021
Last updated
03/29/2021
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