Organization
LEVY AND VUTERA FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOIRA EASLEY (OFFICE MANAGER)
(225) 938-6432
Entity
Organization
Contact information
Practice address
6509 GOVERNMENT ST STE A, BATON ROUGE, LA 70806-6238
(225) 924-1824
Mailing address
6509 GOVERNMENT ST STE A, BATON ROUGE, LA 70806-6238
(225) 924-1824
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114259967
—
LA
Enumeration date
04/30/2018
Last updated
04/30/2018
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