Organization
GLASER FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURIE R GLASER (DENTIST)
(985) 785-0123
Entity
Organization
Contact information
Practice address
13270 HIGHWAY 90, BOUTTE, LA 70039
(985) 785-0123
(985) 785-0125
Mailing address
PO BOX 515, BOUTTE, LA 70039-0515
(985) 785-0123
(985) 785-0125
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5328
LA
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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