institution
Peach Tree For Kids - Ruston, Llc
Pediatric Dentist in Ruston, Louisiana
NPI 1144569252

Peach Tree For Kids - Ruston, Llc is a Pediatric Dentist based in Ruston, LA and is specialized in Pediatric Dentistry. Peach Tree For Kids - Ruston, Llc practices in Ruston, LA. The NPI Number for Peach Tree For Kids - Ruston, Llc is 1144569252 and holds a License No. 5205 (Louisiana).

The current practice location address for Peach Tree For Kids - Ruston, Llc is 206 E Vaughn Ave, Ruston, LA and can be reached out via phone at 318-255-7760. You can also correspond with Peach Tree For Kids - Ruston, Llc through the mailing address at 702 N TRENTON ST, RUSTON, LA - 71270-3324 (mailing address contact number: 318-255-9440).

Location: 206 E Vaughn Ave, Ruston, LA, 71270-3324
institution
Provider Profile Details
NPI Number
1144569252
Provider Name
Peach Tree For Kids - Ruston, Llc
Credential
Provider Entity Type
Organization
Address
206 E Vaughn Ave, Ruston, LA, 71270-3324
Phone Number
318-255-7760
Fax Number
Provider Enumeration Date
02/08/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
206 E Vaughn Ave
City
State
Zip
71270-5926
Phone Number
318-255-7760
Fax Number
person
Provider Business Mailing Address Details
Address
702 N Trenton St
City
State
Zip
71270-3324
Phone Number
318-255-9440
Fax Number
318-251-1270
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
5205 (Louisiana)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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