Organization
DELHI DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY G EZELL DDS (DENTIST)
(318) 878-2405
Entity
Organization
Contact information
Practice address
516 MAIN ST, DELHI, LA 71232-2538
(318) 878-2405
(318) 878-8968
Mailing address
516 MAIN ST, DELHI, LA 71232-2538
(318) 878-2405
(318) 878-8968
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/19/2009
Last updated
08/19/2009
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