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Dental Providers Dental Assistant

Provider NPI: 1306298997

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
Tel: 337-531-4940  Fax: --

Business Mailing Address:
Tel: --  Fax: --

NPI Information:
NPI: 1306298997
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y126800000XDental Providers
Dental Assistant

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 126800000X





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