Sr Minden LLC

NPI #1902475072 in Minden, Louisiana

Provider Information

NPI Number: 1902475072
Entity Type: Organization
Organization Name: Sr Minden LLC
Primary Specialty: Dentist
Enumeration Date: Jun 22, 2021
Last Updated: Jun 22, 2021

Practice Location

Address: 600 CLINE ST
City: Minden
State: Louisiana
ZIP Code: 71055-3010
Phone: (318) 377-0763

Authorized Official

Name: ABIGAIL HOWELL
Title: PRACTICE MANAGER
Phone: (318) 294-2241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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