Individual
DR. JUSTIN LEVI PROCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
116 HOMER RD, MINDEN, LA 71055-2732
(318) 377-9411
Mailing address
116 HOMER RD, MINDEN, LA 71055-2732
(318) 377-9411
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7211
LA
Other
Enumeration date
06/09/2021
Last updated
11/24/2021
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