Model Dentistry Greenwell Springs LLC

NPI #1205676350 in Greenwell Springs, Louisiana

Provider Information

NPI Number: 1205676350
Entity Type: Organization
Organization Name: Model Dentistry Greenwell Springs LLC
Primary Specialty: Dentist
Enumeration Date: May 28, 2024
Last Updated: May 28, 2024

Practice Location

Address: 14127 GREENWELL SPRINGS RD STE A
City: Greenwell Springs
State: Louisiana
ZIP Code: 70739-3305
Phone: (225) 261-0043

Authorized Official

Name: DR. LUCY ELIZABETH RABORN, DDS
Title: OWNER
Phone: (225) 261-0043

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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