Organization · Type 2 NPI
Glaser Family Practice
Dental Clinic/Center · Boutte, LA
NPI number
1598076788
Active
Practice location
13270 Highway 90
Boutte, LA 70039
Fax (985) 785-0125
Mailing address
PO Box 515
Boutte, LA 70039-0515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 5328 (LA) |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Boutte
About NPI 1598076788
Glaser Family Practice's National Provider Identifier is 1598076788, issued on Jun 23, 2010. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Boutte, LA. The record was last updated on Jun 23, 2010.