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Organization

AFFORDABLE DENTAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEROY KOSCHEL DDS (DOCTOR)
(225) 355-3070
Entity
Organization

Contact information

Practice address
5151 PLANK RD, STE 17-A, BATON ROUGE, LA 70805
(225) 355-3070
(225) 355-6305
Mailing address
5151 PLANK RD, STE 17-A, BATON ROUGE, LA 70805
(225) 355-3070
(225) 355-6305

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4891
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1880973
LA
Enumeration date
05/20/2008
Last updated
07/11/2012
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