Organization
BATON ROUGE DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MARRAZZO (OWNER)
(318) 794-6561
Entity
Organization
Contact information
Practice address
632 SHADOWS LN STE A, BATON ROUGE, LA 70806-6561
(225) 926-4203
Mailing address
632 SHADOWS LN STE A, BATON ROUGE, LA 70806-6561
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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