Individual
DR. BLAINE PAUL ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
707 CRESCENT AVE, LOCKPORT, LA 70374-2815
(985) 532-3480
Mailing address
204 W 84TH ST, CUT OFF, LA 70345-3460
(985) 691-4994
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6839
LA
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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