Peach Tree Dental West Monroe, LLC
NPI #1699314799 in West Monroe, Louisiana
Provider Information
- NPI Number
- 1699314799
- Entity Type
- Organization
- Organization Name
- Peach Tree Dental West Monroe, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 6, 2020
- Last Updated
- Jan 6, 2020
Practice Location
- Address
- 3422 CYPRESS ST
- City
- West Monroe
- State
- Louisiana
- ZIP Code
- 71291-7310
- Phone
- (318) 381-9340
Authorized Official
- Name
- JONI PORTER
- Title
- COO
- Phone
- (318) 381-9340
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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