West Baton Rouge Dental Associates, LLC

NPI #1790337632 in Addis, Louisiana

Provider Information

NPI Number
1790337632
Entity Type
Organization
Organization Name
West Baton Rouge Dental Associates, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jul 11, 2019
Last Updated
Jul 11, 2019

Practice Location

Address
6572 HWY 1 SOUTH
City
Addis
ZIP Code
70710
Phone
(985) 893-2240

Authorized Official

Name
JOSEPH LACOSTE JR., DDS
Title
OWNER
Phone
(985) 893-2240

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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