Organization
FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGARDO LOUIS RABEL DDS (DENTIST)
(225) 775-0160
Entity
Organization
Contact information
Practice address
3114 GROOM RD, BAKER, LA 70714-3402
(225) 775-0160
(225) 775-0230
Mailing address
3114 GROOM RD, BAKER, LA 70714-3402
(225) 775-0160
(225) 775-0230
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LA1724
LA
Other
Enumeration date
12/27/2006
Last updated
06/21/2018
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