Organization
GRETER BATON ROUGE DENTAL CLINIC, LOUIS L MASON, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MASON (MANAGER)
(225) 412-0100
Entity
Organization
Contact information
Practice address
16250 AIRLINE HWY, PRAIRIEVILLE, LA 70769-4248
(225) 412-0100
Mailing address
PO BOX 1985, PRAIRIEVILLE, LA 70769-1985
(225) 412-0100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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