Individual
CAILYN GRACE BOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 C M FAGAN DR STE A, HAMMOND, LA 70403-6055
(985) 792-7046
Mailing address
337 LONG LAKE DR, COVINGTON, LA 70435-0293
(985) 705-7474
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7821
LA
Other
Enumeration date
06/05/2026
Last updated
06/05/2026
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