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Organization

KYLE HOLLIS, DMD OF RUSTON, LLC

Active
Other names
Patrick Stuckey, DDS
Organization subpart
No

Provider details

NPI number
Authorized official
CASEY CASTLE (DIRECTOR OF PAYOR CONTRACTS)
(912) 732-1504
Entity
Organization

Contact information

Practice address
303 W ALABAMA AVE, RUSTON, LA 71270-4265
(318) 255-8648
Mailing address
303 W ALABAMA AVE, RUSTON, LA 71270-4265

Taxonomy

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

Other

Enumeration date
04/21/2025
Last updated
05/13/2025
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