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14640 Village Market St Suite 103 Baton Rouge LA 70817 | |
| (337) 422-3588 | |
| (337) 214-1676 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 14640 Village Market St, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Jacob Dent (OWNER) |
| Authorized Official Contact | 3374223588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
17000 Red Hill Avenue Irvine CA 92614 Ph: (714) 845-8500 | 14640 Village Market St Suite 103 Baton Rouge LA 70817 Ph: (337) 422-3588 |
| NPI Number | 1992251573 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992251573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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