Organization
BOGALUSA DENTAL ASSOCIATES, LLC
Active
Other names
Louisiana Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH R LACOSTE JR. DDS (PRESIDENT / OWNER)
(985) 735-0078
Entity
Organization
Contact information
Practice address
218 MEMPHIS ST, BOGALUSA, LA 70427-3844
(985) 735-0078
Mailing address
218 MEMPHIS ST, BOGALUSA, LA 70427-3844
(985) 735-0078
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3427
LA
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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