OUR LADY OF THE LAKE ORAL SURGERY CLINIC is an oral and maxillofacial surgery dentist in Baton Rouge, LA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. OUR LADY OF THE LAKE ORAL SURGERY CLINIC NPI is 1073794731. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
7777 HENNESSY BLVD
SUITE 1004
BATON ROUGE, LA
ZIP 70808-300
Phone: (225) 765-8551
The provider's authorized official is Robert D Ramsey .
The authorized official title is Cfo and has the following contact phone number (225) 765-8967.
The enumeration date for this NPI number is 11/21/2007 and was last updated on 11/21/2007.