Organization
PROFESSIONAL DENTAL PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LALA DDS (OWNER)
(225) 926-7782
Entity
Organization
Contact information
Practice address
641 E AIRPORT AVE STE A, BATON ROUGE, LA 70806-6545
(225) 926-7782
Mailing address
641 E AIRPORT AVE STE A, BATON ROUGE, LA 70806-6545
(225) 926-7782
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3847
LA
Other
Enumeration date
07/10/2007
Last updated
04/22/2008
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