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1073869046
BURVANT FAMILY DENTISTRY LLC
COVINGTON, LA
NPI
1073869046
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Entity Type
Organization
Authorized Contact
JOEL EMBREE BURVANT
Owner
985-892-2403
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: LA 6172)
Enumeration Date
2012-07-27
Last Update Date
2012-07-27
Business Address
BURVANT FAMILY DENTISTRY LLC
601 W 18TH AVE
COVINGTON, LA 70433-3064
Phone number: 985-892-2403
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Mailing Address
BURVANT FAMILY DENTISTRY LLC
601 W 18TH AVE
COVINGTON, LA 70433-3064
Phone number: 985-892-2403
Copy
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