PEACH TREE DENTAL WEST MONROE, LLC

WEST MONROE, LA
NPI1699314799
Entity TypeOrganization
Authorized ContactJONI PORTER
COO
318-381-9340
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2020-01-06
Last Update Date2020-01-06
Business Address
PEACH TREE DENTAL WEST MONROE, LLC
3422 CYPRESS ST
WEST MONROE, LA 71291-7310
Phone number: 318-381-9340
Mailing Address
PEACH TREE DENTAL WEST MONROE, LLC
3422 CYPRESS ST
WEST MONROE, LA 71291-7310
Phone number: