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MR. ADRIAN MICHAEL SIMM DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1952327561

Individual Registrant:
MR. ADRIAN MICHAEL SIMM DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
506 WEST MAIN  DELCAMBRE, LA 70528 US
Tel: 337-685-2274  Fax: 337-685-5543

Contact information for business:
PO BOX 200  DELCAMBRE, LA 70528 US
Tel: 337-685-2274  Fax: 337-685-5543

Registration Information:
NPI: 1952327561
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
LA3026

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1830267LA05




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