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2121 Millerville Rd Ste A Baton Rouge LA 70816-1401 | |
| (469) 788-7412 | |
| (225) 960-4407 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 2121 Millerville Rd Ste A, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Jeffrey Toler (OWNER) |
| Authorized Official Contact | 4697887412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8500 | 2121 Millerville Rd Ste A Baton Rouge LA 70816-1401 Ph: (469) 788-7412 |
| NPI Number | 1871006908 |
|---|---|
| Provider Enumeration Date | 11/11/2017 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871006908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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