| Maxillofacial Imaging Of Baton Rouge, Llc | |
|
7967 Office Park Blvd Baton Rouge LA 70809-7646 | |
| (225) 218-0225 | |
| Not Available |
| Full Name | Maxillofacial Imaging Of Baton Rouge, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7967 Office Park Blvd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Daniel J Richardson (PRESIDENT) |
| Authorized Official Contact | 2252180225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxillofacial Imaging Of Baton Rouge, Llc 7967 Office Park Blvd Baton Rouge LA 70809-7646 Ph: (225) 218-0225 | Maxillofacial Imaging Of Baton Rouge, Llc 7967 Office Park Blvd Baton Rouge LA 70809-7646 Ph: (225) 218-0225 |
| NPI Number | 1932490208 |
|---|---|
| Provider Enumeration Date | 04/21/2011 |
| Last Update Date | 04/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932490208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3462 (Louisiana) | Primary |
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