Organization
SALLY B DALY DDS LLC
Active
Other names
Fleur De Lis Mobile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY B DALY DDS (OWNER)
(303) 810-5619
Entity
Organization
Contact information
Practice address
11822 JUSTICE AVENUE #84, BATON ROUGE, LA 70816
(225) 767-5343
(225) 767-4009
Mailing address
PO BOX 40992, BATON ROUGE, LA 70835-0992
(225) 767-5343
(225) 767-4009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3767-14
MS
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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