| Azalea Dental Llc | |
|
10634 N Oak Hills Pkwy Ste A Baton Rouge LA 70810-2983 | |
| (225) 766-3474 | |
| (225) 766-3475 |
| Full Name | Azalea Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10634 N Oak Hills Pkwy Ste A, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Leslie Hargrove (MANAGER) |
| Authorized Official Contact | 2252703392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azalea Dental Llc 10634 N Oak Hills Pkwy Ste A Baton Rouge LA 70810-2983 Ph: (225) 766-3474 | Azalea Dental Llc 10634 N Oak Hills Pkwy Ste A Baton Rouge LA 70810-2983 Ph: (225) 766-3474 |
| NPI Number | 1326628710 |
|---|---|
| Provider Enumeration Date | 04/10/2021 |
| Last Update Date | 04/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326628710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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