Organization
ED BATEMAN DDS A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MADELINE B HOLDER (OFFICE MANAGER)
(225) 927-5095
Entity
Organization
Contact information
Practice address
748 CHEVELLE DR, BATON ROUGE, LA 70806-6503
(225) 927-5095
(225) 927-5096
Mailing address
748 CHEVELLE DR, BATON ROUGE, LA 70806-6503
(225) 927-5095
(225) 927-5096
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1584
LA
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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