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Organization
BAYOU DENTAL HEALTH
Active
Organization
BAYOU DENTAL HEALTH
Active
Other names
Smiles 2 Geaux
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHRUFA ISLAM DDS (DENTAL DIRECTOR)
(888) 242-1608
Entity
Organization
Contact information
Practice address
6005 AIRLINE DR, METAIRIE, LA 70003-4330
(888) 242-1608
Mailing address
PO BOX 23623, NEW ORLEANS, LA 70183-0623
(888) 242-1608
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/08/2012
Last updated
11/13/2018
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