| Augustus Alonzo Hall Iii Dds Llc | |
|
8220 Goodwood Blvd #3b Baton Rouge LA 70806-7741 | |
| (225) 928-9838 | |
| Not Available |
| Full Name | Augustus Alonzo Hall Iii Dds Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8220 Goodwood Blvd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Augustus A Hall (PRESIDENT) |
| Authorized Official Contact | 2259289838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Augustus Alonzo Hall Iii Dds Llc 8220 Goodwood Blvd #3b Baton Rouge LA 70806-7741 Ph: () - | Augustus Alonzo Hall Iii Dds Llc 8220 Goodwood Blvd #3b Baton Rouge LA 70806-7741 Ph: (225) 928-9838 |
| NPI Number | 1760888705 |
|---|---|
| Provider Enumeration Date | 11/18/2014 |
| Last Update Date | 11/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760888705 | NPI | - | NPPES |
| 1854786 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5478 (Louisiana) | Primary |
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