Oak Grove Dental

NPI 1225338593 - Dentist - 1223G0001X

NPI Details
NPI 1225338593
Enumeration Date 11/02/2010
Last Updated 11/02/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ROBERT VANCE ROBERT
Position CO OWNER
Phone (318) 428-4255
Fax
Practice Location
414 ROSS ST
OAK GROVE LA, 71263-9727, US
Phone (318) 428-4255
Fax
Business Location
PO BOX 390
OAK GROVE LA, 71263-0390, US
Phone (318) 428-4255
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Louisiana
License Number 5630
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According to our database, Oak Grove Dental NPI is 1225338593, taxonomy code is 1223G0001X and license number is 5630, license state is located at Louisiana. Oak Grove Dental physically located at 414 Ross St, Oak Grove LA, 71263-9727. NPI Number 1033115704 has the healthcare provider type.

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1225338593 NPI number is provided on an as is basis without warranty of any kind. 1225338593 is maintained by the National Plan & Provider Enumeration System. The contents of Oak Grove Dental are for informational purposes only.