| Dental Specialty | |
|
2005 Forsythe Ave Monroe LA 71201 | |
| (318) 388-2630 | |
| (318) 322-4537 |
| Full Name | Dental Specialty |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2005 Forsythe Ave, Monroe, Louisiana |
| Authorized Official Name and Position | Lila C Walimaa (BOOKKEEPER SECRETARY) |
| Authorized Official Contact | 3183882630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Specialty 2005 Forsythe Ave Monroe LA 71201 Ph: (318) 388-2630 | Dental Specialty 2005 Forsythe Ave Monroe LA 71201 Ph: (318) 388-2630 |
| NPI Number | 1144343906 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144343906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
Phsc Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2914 Betin Ave, Monroe, LA 71201 Phone: 318-323-4450 Fax: 318-323-4430 | |
Justin E Tarver Dds Apdc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 92 Lincoln Rd, Monroe, LA 71203 Phone: 318-343-6006 | |
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Ryan D. Ward,d.d.s.llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3050 Forsythe Ave, Monroe, LA 71201 Phone: 318-387-6222 Fax: 318-387-1244 | |
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