Individual
DR. CLEVELAND COLUMBUS CARPENTER, III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8913 BLUEBONNET BLVD, SUITE C, BATON ROUGE, LA 70810-2814
(225) 766-7379
(225) 766-4784
Mailing address
8913 BLUEBONNET BLVD, SUITE C, BATON ROUGE, LA 70810-2814
(225) 766-7379
(225) 766-4784
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4028
LA
Other
Enumeration date
06/18/2006
Last updated
07/08/2007
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