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Organization

ROZACH DENTAL, LLC

Active
Parent organization
ROZACH DENTAL, LLC
Other names
Magnolia Dental
Organization subpart
Yes

Provider details

NPI number
Legal business name
ROZACH DENTAL, LLC
Authorized official
DR. ROSS WEBSTER QUARTANO DDS (OWNER)
(985) 327-6501
Entity
Organization

Contact information

Practice address
6061 PINNACLE PKWY, COVINGTON, LA 70433-9193
(985) 327-6501
(985) 327-6506
Mailing address
6061 PINNACLE PKWY, COVINGTON, LA 70433-9193
(985) 327-6501
(985) 327-6506

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
03/30/2022
Last updated
03/30/2022
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