| River Dental | |
|
1107 Glenwood Dr West Monroe LA 71291-5503 | |
| (318) 340-1003 | |
| (318) 340-1006 |
| Full Name | River Dental |
|---|---|
| Speciality | Dentist |
| Location | 1107 Glenwood Dr, West Monroe, Louisiana |
| Authorized Official Name and Position | Larry Todd Hilburn (DOCTOR/OWNER) |
| Authorized Official Contact | 3183401003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Dental 1107 Glenwood Dr West Monroe LA 71291-5503 Ph: (318) 340-1003 | River Dental 1107 Glenwood Dr West Monroe LA 71291-5503 Ph: (318) 340-1003 |
| NPI Number | 1881354249 |
|---|---|
| Provider Enumeration Date | 12/28/2021 |
| Last Update Date | 12/28/2021 |
| Certification Date | 12/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881354249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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