Individual
DR. MATTHEW D GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12045 COURSEY BLVD, BATON ROUGE, LA 70816-4478
(225) 292-8783
(225) 292-8030
Mailing address
12045 COURSEY BLVD, BATON ROUGE, LA 70816-4478
(225) 292-8783
(225) 292-8030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6438
LA
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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