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Organization

PLANTATION ROAD DENTAL CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELANIE J ANDREWS DDS (OWNER/MANAGER)
(985) 764-1148
Entity
Organization

Contact information

Practice address
103 PLANTATION RD, DESTREHAN, LA 70047-3016
(985) 764-1148
Mailing address
103 PLANTATION RD, DESTREHAN, LA 70047-3016
(985) 764-1148

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3800
LA

Other

Enumeration date
11/12/2015
Last updated
11/12/2015
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