Organization
LAGNIAPPE DENTAL NORTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH LANDRY MATHEWS DDS (MANAGER)
(318) 747-2666
Entity
Organization
Contact information
Practice address
1104 DOCTORS DR, SPRINGHILL, LA 71075-4528
(318) 539-5642
Mailing address
4438 VIKING DR STE 100, BOSSIER CITY, LA 71111-7510
(318) 747-2666
(318) 747-6610
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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