| Cenla Dentistry | |
|
3200 Monroe Hwy Suite 150 Pineville LA 71360-8110 | |
| (318) 640-3200 | |
| Not Available |
| Full Name | Cenla Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3200 Monroe Hwy, Pineville, Louisiana |
| Authorized Official Name and Position | Honey R Fiasconaro (PRESIDENT) |
| Authorized Official Contact | 3187296205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cenla Dentistry 3200 Monroe Hwy Suite 150 Pineville LA 71360-8110 Ph: (318) 640-3200 | Cenla Dentistry 3200 Monroe Hwy Suite 150 Pineville LA 71360-8110 Ph: (318) 640-3200 |
| NPI Number | 1730414830 |
|---|---|
| Provider Enumeration Date | 10/07/2009 |
| Last Update Date | 10/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730414830 | NPI | - | NPPES |
| 1871607895 | Other | LA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5754 (Louisiana) | Primary |
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