| Apple St Dental Llc | |
|
120 Apple St Norco LA 70079-2216 | |
| (985) 764-7066 | |
| Not Available |
| Full Name | Apple St Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 120 Apple St, Norco, Louisiana |
| Authorized Official Name and Position | Calvin Bessonet (OWNER) |
| Authorized Official Contact | 5049059887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Apple St Dental Llc 120 Apple St Norco LA 70079-2216 Ph: (985) 764-7066 | Apple St Dental Llc 120 Apple St Norco LA 70079-2216 Ph: (985) 764-7066 |
| NPI Number | 1063055655 |
|---|---|
| Provider Enumeration Date | 10/25/2019 |
| Last Update Date | 10/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063055655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Apple Street Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Apple St, Norco, LA 70079 Phone: 985-764-7066 |