Organization
SLIDELL FAMILY DENTAL CARE, LLC
Active
Other names
Slidell Family Dental Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDI LYNN MARTINEZ (OFFICE MANAGER)
(985) 643-4553
Entity
Organization
Contact information
Practice address
240 ERLANGER AVE, SLIDELL, LA 70458-3426
(985) 643-4553
(985) 645-0746
Mailing address
240 ERLANGER AVE, SLIDELL, LA 70458-3426
(985) 643-4553
(985) 645-0746
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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