Douglas M George Dds Llc | |
430 E Pine St Ponchatoula LA 70454-2544 | |
(318) 348-4795 | |
Not Available |
Full Name | Douglas M George Dds Llc |
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Speciality | Clinic/center - Dental |
Location | 430 E Pine St, Ponchatoula, Louisiana |
Authorized Official Name and Position | Douglas George (OWNER) |
Authorized Official Contact | 3183484795 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Douglas M George Dds Llc 430 E Pine St Ponchatoula LA 70454-2544 Ph: (985) 386-8454 | Douglas M George Dds Llc 430 E Pine St Ponchatoula LA 70454-2544 Ph: (318) 348-4795 |
NPI Number | 1154901668 |
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Provider Enumeration Date | 04/09/2021 |
Last Update Date | 06/08/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154901668 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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