Glaser Family Practice | |
13270 Highway 90 Boutte LA 70039 | |
(985) 785-0123 | |
(985) 785-0125 |
Full Name | Glaser Family Practice |
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Speciality | Clinic/center - Dental |
Location | 13270 Highway 90, Boutte, Louisiana |
Authorized Official Name and Position | Laurie R Glaser (DENTIST) |
Authorized Official Contact | 9857850123 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Glaser Family Practice Po Box 515 Boutte LA 70039-0515 Ph: (985) 785-0123 | Glaser Family Practice 13270 Highway 90 Boutte LA 70039 Ph: (985) 785-0123 |
NPI Number | 1598076788 |
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Provider Enumeration Date | 06/23/2010 |
Last Update Date | 06/23/2010 |
Identifier | Type | State | Issuer |
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1598076788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 5328 (Louisiana) | Primary |