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Organization
EASYCAREWELLNESSANDDENTISTRY LLC
Active
Organization
EASYCAREWELLNESSANDDENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNY MCLAUGHLIN III (MANAGER)
(504) 258-8870
Entity
Organization
Contact information
Practice address
2145 REV. RICHARD WILSON DR, KENNER, LA 70062
(504) 258-8870
Mailing address
5138 MARIGNY ST, NEW ORLEANS, LA 70122-5118
(504) 258-8870
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
122300000X
NULL
122300000X
Dentist
122300000X
—
156FX1100X
Ophthalmic Technician/Technologist
156FX1100X
NULL
156FX1100X
Ophthalmic Technician/Technologist
156FX1100X
—
207R00000X
Internal Medicine Physician
207R00000X
NULL
207R00000X
Internal Medicine Physician
207R00000X
—
207W00000X
Ophthalmology Physician
Primary
207W00000X
NULL
207W00000X
Ophthalmology Physician
Primary
207W00000X
—
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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