Organization
GRAND CANYON MOBILE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD BIGGIO D.D.S. (OWNER)
(225) 767-4491
Entity
Organization
Contact information
Practice address
8480 BLUEBONNET BLVD STE E, BATON ROUGE, LA 70810
(225) 767-4491
Mailing address
8480 BLUEBONNET BLVD STE E, BATON ROUGE, LA 70810
(225) 767-4491
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D009622
AZ
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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