Raborn Dental Greenwell Springs LLC
NPI #1699541003 in Greenwell Springs, Louisiana
Provider Information
- NPI Number
- 1699541003
- Entity Type
- Organization
- Organization Name
- Raborn Dental Greenwell Springs LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 27, 2023
- Last Updated
- Nov 27, 2023
Practice Location
- Address
- 14127 GREENWELL SPRINGS RD
- State
- Louisiana
- ZIP Code
- 70739-3305
- Phone
- (225) 460-2165
Authorized Official
- Name
- DR. TIMOTHY RABORN, DDS
- Title
- MANAGER/ MEMBER
- Phone
- (225) 405-4997
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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