Organization
PREMIER MOBILE DENTISTRY OF VA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL NUSS RABEL DDS (OWNER)
(225) 776-0006
Entity
Organization
Contact information
Practice address
6224 PROVINCE LN, BATON ROUGE, LA 70808-3574
(225) 324-5945
(225) 752-0196
Mailing address
6224 PROVINCE LN, BATON ROUGE, LA 70808-3574
(122) 532-4594
(225) 752-0196
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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