Southern Pines Dental, LLC

NPI #1922457175 in Arcadia, Louisiana

Provider Information

NPI Number
1922457175
Entity Type
Organization
Organization Name
Southern Pines Dental, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 8, 2016
Last Updated
Jun 8, 2016

Practice Location

Address
1416 HAZEL ST
ZIP Code
71001-4114
Phone
(318) 855-1426

Authorized Official

Name
DR. JESSE ROBERTS JR., DDS
Title
OWNER/DENTIST
Phone
(318) 855-1426

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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