PREMIER MOBILE DENTISTRY OF VA LLC

BATON ROUGE, LA
NPI1689171076
Entity TypeOrganization
Authorized ContactMICHAEL NUSS RABEL
Owner
225-776-0006
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2018-04-11
Last Update Date2018-04-11
Business Address
PREMIER MOBILE DENTISTRY OF VA LLC
6224 PROVINCE LN
BATON ROUGE, LA 70808-3574
Phone number: 225-324-5945
Mailing Address
PREMIER MOBILE DENTISTRY OF VA LLC
6224 PROVINCE LN
BATON ROUGE, LA 70808-3574
Phone number: 122-532-4594
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