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Cailyn Grace Bobo

Dentist, General Practice in Hammond, LA. Individual provider (NPI-1).

NPI number1538092978
StatusActive
Last updated in NPPESJun 5, 2026

Details

NPI
1538092978
Entity type
Individual (NPI-1)
Name
Cailyn Grace Bobo
Sex
Female
Sole proprietor
No
Enumeration date
Jun 5, 2026
Certification date
Jun 5, 2026
Last updated
Jun 5, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice7821LAYes

Practice location

1000 C M Fagan Dr Ste A
Hammond, LA 70403-6055

Phone 985-792-7046

Mailing address

337 Long Lake Dr
Covington, LA 70435-0293

Phone 985-705-7474

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Other General Practice Dentistry providers in Hammond, LA

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