| Premier Mobile Dentistry Of Va Llc | |
|
6224 Province Ln Baton Rouge LA 70808-3574 | |
| (225) 324-5945 | |
| (225) 752-0196 |
| Full Name | Premier Mobile Dentistry Of Va Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6224 Province Ln, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Michael Nuss Rabel (OWNER) |
| Authorized Official Contact | 2257760006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Mobile Dentistry Of Va Llc 6224 Province Ln Baton Rouge LA 70808-3574 Ph: (122) 532-4594 | Premier Mobile Dentistry Of Va Llc 6224 Province Ln Baton Rouge LA 70808-3574 Ph: (225) 324-5945 |
| NPI Number | 1689171076 |
|---|---|
| Provider Enumeration Date | 04/11/2018 |
| Last Update Date | 04/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689171076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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