COUNTRY CLUB DENTAL is a general practice dentist in Baton Rouge, LA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. COUNTRY CLUB DENTAL NPI is 1003970682. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Louisiana Dental Spa.
The provider's business location address is:
16645 HIGHLAND RD STE J
BATON ROUGE, LA
ZIP 70810-567
Phone: (225) 214-0100
Fax: (225) 214-0103
The provider's authorized official is Darrell Paul Bourg .
The authorized official title is Dentist and has the following contact phone number (504) 232-6624.
The enumeration date for this NPI number is 12/20/2006 and was last updated on 8/22/2020.