Senior Dental Care of Louisiana

NPI #1225379480 in Blountstown, Florida

Provider Information

NPI Number
1225379480
Entity Type
Organization
Organization Name
Senior Dental Care of Louisiana
Primary Specialty
Dentist
Enumeration Date
Mar 12, 2013
Last Updated
Feb 22, 2017

Practice Location

Address
16119 STATE ROAD 71 S
State
Florida
ZIP Code
32424-2810
Phone
(850) 398-4500

Authorized Official

Name
MR. TONY LAYNE
Title
MANAGER
Phone
(850) 398-4500

Specialties & Taxonomy Codes

Specialty
Dentist

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