Individual
TABITA HOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8676 GOODWOOD BLVD, #502, BATON ROUGE, LA 70806
(225) 924-7202
Mailing address
8676 GOODWOOD BLVD, #502, BATON ROUGE, LA 70806
(225) 924-7202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7065
LA
Other
Enumeration date
06/11/2020
Last updated
02/28/2023
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