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Organization
LSU HEALTH SCIENCES CENTER LSU FACULTY DENTAL PRACTICE
Active
Organization
LSU HEALTH SCIENCES CENTER LSU FACULTY DENTAL PRACTICE
Active
Other names
State Institution
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SYLVIA D MORPHY (PRACTICE MANAGER)
(504) 889-9893
Entity
Organization
Contact information
Practice address
3800 HOUMA BLVD, SUITE 305, METAIRIE, LA 70006
(504) 889-9893
(504) 889-9895
Mailing address
3800 HOUMA BLVD, SUITE 305, METAIRIE, LA 70006
(504) 889-9893
(504) 889-9895
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1880213
—
LA
Enumeration date
09/01/2006
Last updated
08/22/2020
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