| Raborn Dental Greenwell Springs Llc | |
|
14127 Greenwell Springs Rd Greenwell Springs LA 70739-3305 | |
| (225) 460-2165 | |
| Not Available |
| Full Name | Raborn Dental Greenwell Springs Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14127 Greenwell Springs Rd, Greenwell Springs, Louisiana |
| Authorized Official Name and Position | Timothy Raborn (MANAGER/ MEMBER) |
| Authorized Official Contact | 2254054997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raborn Dental Greenwell Springs Llc 7604 Claret Ave Baton Rouge LA 70809-1584 Ph: () - | Raborn Dental Greenwell Springs Llc 14127 Greenwell Springs Rd Greenwell Springs LA 70739-3305 Ph: (225) 460-2165 |
| NPI Number | 1699541003 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699541003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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