Organization
WEST LOUISIANA DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY L ARTHUR (BUSINESS MANAGER)
(337) 239-2509
Entity
Organization
Contact information
Practice address
103 BELVIEW RD, LEESVILLE, LA 71446-2902
(337) 239-2509
(337) 239-9764
Mailing address
103 BELVIEW RD, LEESVILLE, LA 71446-2902
(337) 239-2509
(337) 239-9764
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6095
OUT OF NETWORK
LA
Enumeration date
01/26/2022
Last updated
01/26/2022
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