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NPI Code Detail

MEDICARE: ARMAND DENTAL INC.

MEDICARE: ARMAND DENTAL INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry4484LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13974OTHERLA1223G0001X DENTIST GENERA

General Provider Information

NPI Number : 1790834497
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARMAND DENTAL INC.
Provider Business Mailing Address
First Line : 2805 ARMAND ST
Second Line : SUITE A
City : MONROE
State : LA
Zip : 71201-3751
Country : US
Telephone Number : 318-388-4411
Fax Number : 318-388-2513
Provider Business Practice Location Address
First Line : 2805 ARMAND ST
Second Line : SUITE A
City : MONROE
State : LA
Zip : 71201-3751
Country : US
Telephone Number : 318-388-4411
Fax Number : 318-388-2513
Authorized Official
Title or Position : PRESIDENT
Name : DR. RUTH ANN GRIGGS
Credential : DDS
Telephone Number : 318-388-4411
Provider Enumeration Date : 01/10/2007
Last Update Date : 08/22/2020

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