RED RIVER DENTAL LLC

ALEXANDRIA, LA
NPI1154661064
Entity TypeOrganization
Authorized ContactWILLIAM ALAN PUCKETT
Member/Manager
318-427-9220
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: LA  5978)
Enumeration Date2013-03-01
Last Update Date2013-03-01
Business Address
RED RIVER DENTAL LLC
1408 PETERMAN DR
ALEXANDRIA, LA 71301-3432
Phone number: 318-427-9220
Mailing Address
RED RIVER DENTAL LLC
1408 PETERMAN DR
ALEXANDRIA, LA 71301-3432
Phone number: 318-427-9220
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