Lake Area Dentistry Kinder | |
203 1st Ave Kinder LA 70648-3538 | |
(337) 738-2598 | |
(337) 738-3102 |
Full Name | Lake Area Dentistry Kinder |
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Speciality | Clinic/center - Dental |
Location | 203 1st Ave, Kinder, Louisiana |
Authorized Official Name and Position | Jeffery Hennigan (OWNER) |
Authorized Official Contact | 3374788470 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lake Area Dentistry Kinder 203 1st Ave Kinder LA 70648-3538 Ph: (337) 738-2598 | Lake Area Dentistry Kinder 203 1st Ave Kinder LA 70648-3538 Ph: (337) 738-2598 |
NPI Number | 1295405116 |
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Provider Enumeration Date | 09/14/2021 |
Last Update Date | 09/14/2021 |
Identifier | Type | State | Issuer |
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1295405116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |