| Maple Leaf Mobile Dentistry | |
|
248 Belleau Wood Blvd Alexandria LA 71303-2499 | |
| (504) 427-1810 | |
| Not Available |
| Full Name | Maple Leaf Mobile Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 248 Belleau Wood Blvd, Alexandria, Louisiana |
| Authorized Official Name and Position | Daniel Lester (OWNER) |
| Authorized Official Contact | 5044271810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Leaf Mobile Dentistry 248 Belleau Wood Blvd Alexandria LA 71303-2499 Ph: (504) 427-1810 | Maple Leaf Mobile Dentistry 248 Belleau Wood Blvd Alexandria LA 71303-2499 Ph: (504) 427-1810 |
| NPI Number | 1326595216 |
|---|---|
| Provider Enumeration Date | 09/08/2016 |
| Last Update Date | 09/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326595216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30.024883 (Ohio) | Primary |
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