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1174771463
COLLINS BLVD FAMILY DENTISTRY
COVINGTON, LA
NPI
1174771463
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Entity Type
Organization
Authorized Contact
SUSANNE O CORE
Dentist
985-809-1889
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2008-08-29
Last Update Date
2008-08-29
Business Address
COLLINS BLVD FAMILY DENTISTRY
842 N. COLLINS BLVD SUITE F
COVINGTON, LA 70433-2759
Phone number: 985-809-1889
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Mailing Address
COLLINS BLVD FAMILY DENTISTRY
842 N COLLINS BLVD SUITE F
COVINGTON, LA 70433-2759
Phone number: 985-809-1889
Copy
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