Organization
CFDC, LLC
Active
Other names
Concord Family Dental Central
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM JOSEPH QUARTANO DDS (OWNER/DENTIST)
(985) 869-6403
Entity
Organization
Contact information
Practice address
13323 HOOPER RD, BATON ROUGE, LA 70818-3526
(225) 261-8050
Mailing address
4450 BLUEBONNET BLVD STE A, BATON ROUGE, LA 70809-9649
(985) 869-6403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1863912
—
LA
Enumeration date
08/12/2021
Last updated
08/12/2021
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