| Spillover, LLC | |
|
1116 S Purpera Ave Gonzales LA 70737-4361 | |
| (225) 647-3577 | |
| (225) 647-8762 |
| Full Name | Spillover, LLC |
|---|---|
| Speciality | Dentist |
| Location | 1116 S Purpera Ave, Gonzales, Louisiana |
| Authorized Official Name and Position | Dawn Best (OFFICE MANAGER) |
| Authorized Official Contact | 2256473577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spillover, LLC 1116 S Purpera Ave Gonzales LA 70737-4361 Ph: (225) 647-3577 | Spillover, LLC 1116 S Purpera Ave Gonzales LA 70737-4361 Ph: (225) 647-3577 |
| NPI Number | 1780074054 |
|---|---|
| Provider Enumeration Date | 01/26/2015 |
| Last Update Date | 01/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780074054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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