| Senior Dental Care Of Louisiana | |
|
16119 State Road 71 S Blountstown FL 32424-2810 | |
| (850) 398-4500 | |
| Not Available |
| Full Name | Senior Dental Care Of Louisiana |
|---|---|
| Speciality | Dentist |
| Location | 16119 State Road 71 S, Blountstown, Florida |
| Authorized Official Name and Position | Tony Layne (MANAGER) |
| Authorized Official Contact | 8503984500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Dental Care Of Louisiana Po Box 367 Blountstown FL 32424-0367 Ph: (850) 398-4500 | Senior Dental Care Of Louisiana 16119 State Road 71 S Blountstown FL 32424-2810 Ph: (850) 398-4500 |
| NPI Number | 1225379480 |
|---|---|
| Provider Enumeration Date | 03/12/2013 |
| Last Update Date | 02/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225379480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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