| Horseshoe Dental Llc | |
|
164 Country Club Circle Suite A Minden LA 71055-7502 | |
| (318) 639-9559 | |
| (318) 639-9560 |
| Full Name | Horseshoe Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 164 Country Club Circle, Minden, Louisiana |
| Authorized Official Name and Position | Eddy Waller Sherman (DENTIST) |
| Authorized Official Contact | 3182289911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Horseshoe Dental Llc 164 Country Club Circle Suite A Minden LA 71055-7502 Ph: (318) 639-9559 | Horseshoe Dental Llc 164 Country Club Circle Suite A Minden LA 71055-7502 Ph: (318) 639-9559 |
| NPI Number | 1609223833 |
|---|---|
| Provider Enumeration Date | 05/18/2016 |
| Last Update Date | 05/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609223833 | NPI | - | NPPES |
| 5738 | Other | LA | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5738 (Louisiana) | Primary |
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