Senior Dental Care Of Louisiana | |
16119 State Road 71 S Blountstown FL 32424-2810 | |
(850) 398-4500 | |
Not Available |
Full Name | Senior Dental Care Of Louisiana |
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Speciality | Dentist |
Location | 16119 State Road 71 S, Blountstown, Florida |
Authorized Official Name and Position | Tony Layne (MANAGER) |
Authorized Official Contact | 8503984500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Senior Dental Care Of Louisiana Po Box 367 Blountstown FL 32424-0367 Ph: (850) 398-4500 | Senior Dental Care Of Louisiana 16119 State Road 71 S Blountstown FL 32424-2810 Ph: (850) 398-4500 |
NPI Number | 1225379480 |
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Provider Enumeration Date | 03/12/2013 |
Last Update Date | 02/22/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225379480 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
News Archive
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