| South Louisiana Dentofacial Senter, L.l.c. | |
|
600 Valhi Blvd Hourna LA 70360 | |
| (985) 872-3677 | |
| (985) 872-3680 |
| Full Name | South Louisiana Dentofacial Senter, L.l.c. |
|---|---|
| Speciality | Dentist |
| Location | 600 Valhi Blvd, Hourna, Louisiana |
| Authorized Official Name and Position | Pedro J. Cuartas (DENTIST) |
| Authorized Official Contact | 9858723677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Louisiana Dentofacial Senter, L.l.c. 600 Valhi Blvd Hourna LA 70360 Ph: (985) 872-3677 | South Louisiana Dentofacial Senter, L.l.c. 600 Valhi Blvd Hourna LA 70360 Ph: (985) 872-3677 |
| NPI Number | 1487294724 |
|---|---|
| Provider Enumeration Date | 01/15/2020 |
| Last Update Date | 01/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487294724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 122300000X | Dentist | (* (Not Available)) | Primary |