Organization
MONROE DENTAL GROUP LLC
Active
Other names
Southern Roots Dental of Louisiana
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE LEBELL SIMPSON DDS (OWNER DENTIST)
(318) 605-2015
Entity
Organization
Contact information
Practice address
1401 N 18TH ST STE E, MONROE, LA 71201-4972
(318) 605-2015
(318) 737-1239
Mailing address
1503 SPENCER AVE, MONROE, LA 71201-4149
(318) 557-6338
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
LA
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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