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7689 Us Hwy 61 Saint Francisville LA 70775-0820 | |
(225) 635-6554 | |
(225) 635-6239 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 7689 Us Hwy 61, Saint Francisville, Louisiana |
Authorized Official Name and Position | Charles Brent Wilson (OWNER) |
Authorized Official Contact | 2254549680 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 474 7689 Us Hwy 61 Saint Francisville LA 70775-0474 Ph: (225) 635-6554 | 7689 Us Hwy 61 Saint Francisville LA 70775-0820 Ph: (225) 635-6554 |
NPI Number | 1962723502 |
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Provider Enumeration Date | 06/17/2010 |
Last Update Date | 07/29/2013 |
Identifier | Type | State | Issuer |
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1962723502 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 6033 (Louisiana) | Primary |
Audubon Urgent Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7181 U.s. Hwy 61, Suite 10, Saint Francisville, LA 70775 Phone: 225-721-3477 | |