Organization
BURVANT FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL EMBREE BURVANT DDS (OWNER)
(985) 892-2403
Entity
Organization
Contact information
Practice address
601 W 18TH AVE, COVINGTON, LA 70433-3064
(985) 892-2403
Mailing address
601 W 18TH AVE, COVINGTON, LA 70433-3064
(985) 892-2403
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6172
LA
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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