Red River Dental Llc

NPI 1154661064 - Clinic/Center - 261QD0000X

NPI Details
NPI 1154661064
Enumeration Date 03/01/2013
Last Updated 03/01/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name WILLIAM ALAN WILLIAM
Position MEMBER/MANAGER
Phone (318) 427-9220
Fax
Practice Location
1408 PETERMAN DR
ALEXANDRIA LA, 71301-3432, US
Phone (318) 427-9220
Fax
Business Location
1408 PETERMAN DR
ALEXANDRIA LA, 71301-3432, US
Phone (318) 427-9220
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State Louisiana
License Number 5978
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According to our database, Red River Dental Llc NPI is 1154661064, taxonomy code is 261QD0000X and license number is 5978, license state is located at Louisiana. Red River Dental Llc physically located at 1408 Peterman Dr, Alexandria LA, 71301-3432. NPI Number 1033115704 has the healthcare provider type.

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1154661064 NPI number is provided on an as is basis without warranty of any kind. 1154661064 is maintained by the National Plan & Provider Enumeration System. The contents of Red River Dental Llc are for informational purposes only.