Organization
ADVANTAGE DENTAL CARE, DR. LOUIS L MASON DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE WALTERS (ASSOCIATE GENERAL DENTIST)
(985) 285-1547
Entity
Organization
Contact information
Practice address
260 S. ALEXANDER AVE, PORT ALLEN, LA 70767
(225) 346-1776
Mailing address
260 S. ALEXANDER AVE, PORT ALLEN, LA 70767
(225) 346-1776
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6684
LA
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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