Organization
MODEL DENTISTRY GREENWELL SPRINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCY ELIZABETH RABORN DDS (OWNER)
(225) 261-0043
Entity
Organization
Contact information
Practice address
14127 GREENWELL SPRINGS RD STE A, GREENWELL SPRINGS, LA 70739-3305
(225) 261-0043
(225) 261-0046
Mailing address
14127 GREENWELL SPRINGS RD STE A, GREENWELL SPRINGS, LA 70739-3305
(225) 261-0043
(225) 261-0046
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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