Individual
DR. RICHARD G CANGELOSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4220 BLUEBONNET BLVD, SUITE A, BATON ROUGE, LA 70809-9671
(225) 292-3456
(225) 291-2167
Mailing address
4220 BLUEBONNET BLVD, SUITE A, BATON ROUGE, LA 70809-9671
(225) 292-3456
(225) 291-2167
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4864
LA
Other
Enumeration date
07/03/2013
Last updated
02/26/2015
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