Organization
RUTLAND DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY M VERGES (OWNER)
(985) 892-0881
Entity
Organization
Contact information
Practice address
517 E RUTLAND ST, COVINGTON, LA 70433-3218
(985) 892-0881
Mailing address
103 SE CENTRAL AVE, AMITE, LA 70422-2837
(985) 286-4045
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
03/27/2025
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