| Pediatric Dental Partners, Llp | |
|
4001 Viking Dr. Ste. A Bossier City LA 71111-7436 | |
| (318) 747-7020 | |
| (318) 747-2469 |
| Full Name | Pediatric Dental Partners, Llp |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4001 Viking Dr. Ste. A, Bossier City, Louisiana |
| Authorized Official Name and Position | Daniel A Crawford (PARTNER) |
| Authorized Official Contact | 3187477020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Partners, Llp 4001 Viking Dr. Ste. A Bossier City LA 71111-7436 Ph: (318) 747-7020 | Pediatric Dental Partners, Llp 4001 Viking Dr. Ste. A Bossier City LA 71111-7436 Ph: (318) 747-7020 |
| NPI Number | 1619203320 |
|---|---|
| Provider Enumeration Date | 10/30/2009 |
| Last Update Date | 10/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619203320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 3133 (Louisiana) | Primary |
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