Organization
ALEXANDRIA PEDIATRIC DENTISTRY - A PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD R BRASHER JR. DDS (PARTNER)
(318) 445-5471
Entity
Organization
Contact information
Practice address
1400 METRO DR, STE A, ALEXANDRIA, LA 71301-3451
(318) 445-5471
(318) 445-5901
Mailing address
1400 METRO DR, STE A, ALEXANDRIA, LA 71301-3451
(318) 445-5471
(318) 445-5901
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2193
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821934
—
LA
05
—
1857718
—
LA
Enumeration date
04/02/2009
Last updated
04/02/2009
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