| Alexandria Pediatric Dentistry - A Partnership | |
|
1400 Metro Dr Ste A Alexandria LA 71301-3451 | |
| (318) 445-5471 | |
| (318) 445-5901 |
| Full Name | Alexandria Pediatric Dentistry - A Partnership |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1400 Metro Dr, Alexandria, Louisiana |
| Authorized Official Name and Position | Richard R Brasher (PARTNER) |
| Authorized Official Contact | 3184455471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandria Pediatric Dentistry - A Partnership 1400 Metro Dr Ste A Alexandria LA 71301-3451 Ph: (318) 445-5471 | Alexandria Pediatric Dentistry - A Partnership 1400 Metro Dr Ste A Alexandria LA 71301-3451 Ph: (318) 445-5471 |
| NPI Number | 1407098619 |
|---|---|
| Provider Enumeration Date | 04/02/2009 |
| Last Update Date | 04/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407098619 | NPI | - | NPPES |
| 1857718 | Medicaid | LA | |
| 1821934 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2193 (Louisiana) | Primary |
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