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Organization

ASSOCIATES IN DENTAL HEALTH LLC

Active
Other names
B R Dental Care
Organization subpart
No

Provider details

NPI number
Authorized official
CARLOS MIGUEL SUADI DDS (OWNER)
(225) 753-5885
Entity
Organization

Contact information

Practice address
15420 S HARRELLS FERRY RD, SUITE C, BATON ROUGE, LA 70816-2940
(225) 753-5885
(225) 753-5908
Mailing address
15420 S HARRELLS FERRY RD, SUITE C, BATON ROUGE, LA 70816-2940
(225) 753-5885
(225) 753-5908

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4818
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1848182
LA
01
856322
UNITED CONCORDIA
Enumeration date
10/10/2006
Last updated
08/22/2020
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