| Martha V. Roussel, Dds, Llc | |
|
8220 Goodwood Blvd Ste 4b Baton Rouge LA 70806-7741 | |
| (225) 603-0590 | |
| Not Available |
| Full Name | Martha V. Roussel, Dds, Llc |
|---|---|
| Speciality | Dentist |
| Location | 8220 Goodwood Blvd Ste 4b, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Martha Vandersypen Roussel (DENTIST) |
| Authorized Official Contact | 2256030590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martha V. Roussel, Dds, Llc 39450 Quail Creek Ave Prairieville LA 70769-4829 Ph: (225) 603-0590 | Martha V. Roussel, Dds, Llc 8220 Goodwood Blvd Ste 4b Baton Rouge LA 70806-7741 Ph: (225) 603-0590 |
| NPI Number | 1033313689 |
|---|---|
| Provider Enumeration Date | 06/14/2007 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033313689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5276 (Louisiana) | Primary |
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