Grand Family Dentistry Abita Springs LLC
NPI #1114736774 in Abita Springs, Louisiana
Provider Information
- NPI Number
- 1114736774
- Entity Type
- Organization
- Organization Name
- Grand Family Dentistry Abita Springs LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 7, 2025
- Last Updated
- Jan 7, 2025
Practice Location
- Address
- 22464 LA HWY 435
- City
- Abita Springs
- State
- Louisiana
- ZIP Code
- 70420-2206
- Phone
- (985) 893-7835
Authorized Official
- Name
- MARY COTTON
- Title
- ACCOUNTANT
- Phone
- (985) 778-0096
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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