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Organization

SWEET DREAMS I LLC

Active
Parent organization
WILLIAM JARROD GREGG, DDS
Organization subpart
Yes

Provider details

NPI number
Legal business name
WILLIAM JARROD GREGG, DDS
Authorized official
DR. WILLIAM GREGG DDS (SOLE MEMBER)
(318) 336-5711
Entity
Organization

Contact information

Practice address
1148 LOGAN SEWELL DR, VIDALIA, LA 71373-3342
(318) 336-5711
(318) 336-5714
Mailing address
1148 LOGAN SEWELL DR, VIDALIA, LA 71373-3342
(318) 336-5711
(318) 336-5714

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
5476
LA

Other

Enumeration date
03/09/2016
Last updated
03/09/2016
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