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Organization

MCVEA DENTAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CONRAD PETTIT MCVEA III DDS (MANAGER)
(985) 839-4138
Entity
Organization

Contact information

Practice address
2016 WASHINGTON ST, FRANKLINTON, LA 70438-2533
(985) 839-4138
(985) 839-6253
Mailing address
2016 WASHINGTON ST, FRANKLINTON, LA 70438-2533
(985) 839-4138
(985) 839-6253

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4294
LA

Other

Enumeration date
06/21/2016
Last updated
05/08/2017
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