Individual
COTE L RYLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
104 CLECO DR, PINEVILLE, LA 71360-5325
(318) 444-0343
Mailing address
104 CLECO DR, PINEVILLE, LA 71360-5325
(318) 445-0343
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6443
LA
Other
Enumeration date
05/28/2014
Last updated
07/21/2015
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