| Glaser Family Practice | |
|
13270 Highway 90 Boutte LA 70039 | |
| (985) 785-0123 | |
| (985) 785-0125 |
| Full Name | Glaser Family Practice |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13270 Highway 90, Boutte, Louisiana |
| Authorized Official Name and Position | Laurie R Glaser (DENTIST) |
| Authorized Official Contact | 9857850123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glaser Family Practice Po Box 515 Boutte LA 70039-0515 Ph: (985) 785-0123 | Glaser Family Practice 13270 Highway 90 Boutte LA 70039 Ph: (985) 785-0123 |
| NPI Number | 1598076788 |
|---|---|
| Provider Enumeration Date | 06/23/2010 |
| Last Update Date | 06/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598076788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5328 (Louisiana) | Primary |
Louisiana Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14243 Us Highway 190, Boutte, LA 70039 Phone: 985-785-0488 |