Organization · Type 2 NPI
Peach Tree for Kids - Ruston, LLC
Pediatric Dentistry · Ruston, LA
NPI number
1144569252
Active
Practice location
206 E Vaughn Ave
Ruston, LA 71270-5926
Mailing address
702 N Trenton St
Ruston, LA 71270-3324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 5205 (LA) |
Pediatric Dentistry: 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.
About NPI 1144569252
Peach Tree for Kids - Ruston, LLC's National Provider Identifier is 1144569252, issued on Feb 8, 2013. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Ruston, LA. The record was last updated on Feb 8, 2013.