BURVANT FAMILY DENTISTRY LLC

COVINGTON, LA
NPI1073869046
Entity TypeOrganization
Authorized ContactJOEL EMBREE BURVANT
Owner
985-892-2403
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: LA  6172)
Enumeration Date2012-07-27
Last Update Date2012-07-27
Business Address
BURVANT FAMILY DENTISTRY LLC
601 W 18TH AVE
COVINGTON, LA 70433-3064
Phone number: 985-892-2403
Mailing Address
BURVANT FAMILY DENTISTRY LLC
601 W 18TH AVE
COVINGTON, LA 70433-3064
Phone number: 985-892-2403