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1699314799
PEACH TREE DENTAL WEST MONROE, LLC
WEST MONROE, LA
NPI
1699314799
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Entity Type
Organization
Authorized Contact
JONI PORTER
COO
318-381-9340
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2020-01-06
Last Update Date
2020-01-06
Business Address
PEACH TREE DENTAL WEST MONROE, LLC
3422 CYPRESS ST
WEST MONROE, LA 71291-7310
Phone number: 318-381-9340
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Mailing Address
PEACH TREE DENTAL WEST MONROE, LLC
3422 CYPRESS ST
WEST MONROE, LA 71291-7310
Phone number:
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