Individual
MICHAEL JOSEPH ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3744 HWY 1, RACELAND, LA 70394
(985) 537-5147
Mailing address
PO BOX 277, RACELAND, LA 70394
(985) 537-5147
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3105
LA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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