Organization
RUSSELL SCHAFER DENTAL CLINIC LLC
Active
Other names
NOLA Dentures and General Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL SCHAFER (OWNER)
(985) 502-3314
Entity
Organization
Contact information
Practice address
816 BEHRMAN HWY, GRETNA, LA 70056-4546
(504) 392-5104
Mailing address
816 BEHRMAN HWY, GRETNA, LA 70056-4546
(504) 392-5104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
05/17/2023
Last updated
06/20/2023
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