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Red River Dental Llc
Dental Clinic/Center in Alexandria, Louisiana
NPI 1154661064

Red River Dental Llc is a Dental Clinic/Center based in Alexandria, LA and is specialized in Dental. Red River Dental Llc practices in Alexandria, LA. The NPI Number for Red River Dental Llc is 1154661064 and holds a License No. 5978 (Louisiana).

The current practice location address for Red River Dental Llc is 1408 Peterman Dr, Alexandria, LA and can be reached out via phone at 318-427-9220.

Location: 1408 Peterman Dr, Alexandria, LA, 71301-3432
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154661064
Provider Name
Red River Dental Llc
Credential
Provider Entity Type
Organization
Address
1408 Peterman Dr, Alexandria, LA, 71301-3432
Phone Number
318-427-9220
Fax Number
Provider Enumeration Date
03/01/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1859788 05 LA
institution
Provider Business Practice Location Address Details
Address
1408 Peterman Dr
City
Alexandria
State
Louisiana
Zip
71301-3432
Phone Number
318-427-9220
Fax Number
person
Provider Business Mailing Address Details
Address
1408 Peterman Dr
City
Alexandria
State
Louisiana
Zip
71301-3432
Phone Number
318-427-9220
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
5978 (Louisiana)
Definition
Definition to come...
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