| Pediatric Dentistry Of Ruston | |
|
2285 Benton Rd Ste C100 Bossier City LA 71111-3465 | |
| (318) 742-9333 | |
| Not Available |
| Full Name | Pediatric Dentistry Of Ruston |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2285 Benton Rd Ste C100, Bossier City, Louisiana |
| Authorized Official Name and Position | Kristal Patterson (OFFICE MANAGER) |
| Authorized Official Contact | 3187429333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Ruston 2285 Benton Rd Ste A100 Bossier City LA 71111-3465 Ph: (318) 742-9333 | Pediatric Dentistry Of Ruston 2285 Benton Rd Ste C100 Bossier City LA 71111-3465 Ph: (318) 742-9333 |
| NPI Number | 1750159737 |
|---|---|
| Provider Enumeration Date | 12/19/2023 |
| Last Update Date | 12/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750159737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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