Elm Street Dental Center, LLC
NPI #1972648186 in Minden, Louisiana
Provider Information
- NPI Number
- 1972648186
- Entity Type
- Organization
- Organization Name
- Elm Street Dental Center, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 21, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MRS. DONNA L BASHAM
- Title
- OFFICE MANAGER
- Phone
- (318) 377-9411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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