Organization
GREENWELL SPRINGS FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHA M ROSS (OFFICE MANAGER)
(225) 287-4048
Entity
Organization
Contact information
Practice address
14127 GREENWELL SPRINGS RD STE A, GREENWELL SPRINGS, LA 70739-3305
(225) 261-0043
Mailing address
14127 GREENWELL SPRINGS RD STE A, GREENWELL SPRINGS, LA 70739-3305
(225) 261-0043
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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