Organization

Spd Llc

Dental Clinic/Center in Arcadia, LA(View on Map)

Legal Business Name

Spd Llc

NPI Number

1528729555

NPI Type

Organization

Enumeration Date

01/03/2022

Specialties

(Taxonomies)

Code

261QD0000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

1416 HAZEL ST
1416 HAZEL ST

City

Arcadia
Arcadia

State

LA
LA

Postal Code

71001-4114
71001-4114

Country

US
US

Telephone Number

N/A
(318) 855-1426

Authorized Official

Name

Dr. Kyle Gresham

Title or Position

MEMBER

Telephone Number

(318) 855-1426

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/03/2022

Provider Address