Koga Orthodontics Llc | |
2124 Forsythe Ave Monroe LA 71201-3611 | |
(318) 388-4209 | |
Not Available |
Full Name | Koga Orthodontics Llc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 2124 Forsythe Ave, Monroe, Louisiana |
Authorized Official Name and Position | Liseane Koga (ORTHODONTIST) |
Authorized Official Contact | 2699858168 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Koga Orthodontics Llc 2124 Forsythe Ave Monroe LA 71201-3611 Ph: (318) 388-4209 | Koga Orthodontics Llc 2124 Forsythe Ave Monroe LA 71201-3611 Ph: (318) 388-4209 |
NPI Number | 1497409411 |
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Provider Enumeration Date | 02/08/2022 |
Last Update Date | 02/08/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497409411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (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 | |
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