Organization
WEST MONROE PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONI HOWELL PORTER (CLINIC ADMINISTRATOR)
(318) 381-9340
Entity
Organization
Contact information
Practice address
117 PROFESSIONAL DR, WEST MONROE, LA 71291-5331
(318) 387-8054
Mailing address
117 PROFESSIONAL DR, WEST MONROE, LA 71291-5331
(318) 387-8054
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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