Organization
HAYGOOD DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER RYAN HAYGOOD D.D.S. (DENTIST)
(318) 741-6778
Entity
Organization
Contact information
Practice address
1519 DOCTORS DR STE 1, BOSSIER CITY, LA 71111-3676
(318) 741-6778
(318) 741-6778
Mailing address
1519 DOCTORS DR STE 1, BOSSIER CITY, LA 71111-3676
(318) 741-6778
(318) 741-6778
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5334
LA
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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