ADH-PORT VINCENT, LLC

PORT VINCENT, LA
NPI1497006522
Entity TypeOrganization
Authorized ContactCARLOS SUADI
Owner/Dentist
225-753-5885
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: LA  4818)
Enumeration Date2012-09-28
Last Update Date2013-01-29
Business Address
ADH-PORT VINCENT, LLC
18335 LA HIGHWAY 42
PORT VINCENT, LA 70726-8025
Phone number: 225-698-9510
Mailing Address
ADH-PORT VINCENT, LLC
15420 S HARRELLS FERRY RD SUITE C
BATON ROUGE, LA 70816-2933
Phone number: 225-753-5885