Organization
COLLEGE FAMILY DENTISTRY, LLC
Active
Other names
College Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
CORTNEY TOUPS (OFFICE MANAGER)
(225) 926-4640
Entity
Organization
Contact information
Practice address
4616 CONCORD AVE, BATON ROUGE, LA 70808-3123
(225) 926-4660
(225) 926-4660
Mailing address
4616 CONCORD AVE, BATON ROUGE, LA 70808-3123
(225) 926-4660
(225) 926-4660
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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