Individual
DR. REBECCA PHILLIPS TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
140 VETERANS BLVD, DENHAM SPRINGS, LA 70726-5100
(225) 800-4349
Mailing address
18918 BEACONWOOD DR, BATON ROUGE, LA 70817-1809
(225) 315-3950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7222
LA
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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