| Haygood Dental Care, Llc | |
|
1519 Doctors Dr Ste 1 Bossier City LA 71111-3676 | |
| (318) 741-6778 | |
| (318) 741-6778 |
| Full Name | Haygood Dental Care, Llc |
|---|---|
| Speciality | Dentist |
| Location | 1519 Doctors Dr Ste 1, Bossier City, Louisiana |
| Authorized Official Name and Position | Christopher Ryan Haygood (DENTIST) |
| Authorized Official Contact | 3187416778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haygood Dental Care, Llc 1519 Doctors Dr Ste 1 Bossier City LA 71111-3676 Ph: (318) 741-6778 | Haygood Dental Care, Llc 1519 Doctors Dr Ste 1 Bossier City LA 71111-3676 Ph: (318) 741-6778 |
| NPI Number | 1134436975 |
|---|---|
| Provider Enumeration Date | 08/31/2010 |
| Last Update Date | 08/31/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134436975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5334 (Louisiana) | Primary |
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