Ascension Premier Dental, LLC
Dentist, General Practice in Geismar, LA. Organization (NPI-2).
NPI number1194351874
StatusActive
Last updated in NPPESMar 13, 2020
Details
- NPI
- 1194351874
- Entity type
- Organization (NPI-2)
- Legal business name
- Ascension Premier Dental, LLC
- Organization subpart
- No
- Enumeration date
- Mar 13, 2020
- Certification date
- Mar 13, 2020
- Last updated
- Mar 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
13053 Highway 73 Ste AGeismar, LA 70734-3021
Phone 225-673-6910
Mailing address
13053 Highway 73 Ste AGeismar, LA 70734-3021
Phone 225-673-6910
Authorized official
Calvin Bessonet
Owner
2256736910
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