# AMANDA EWING HASZINGER, DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326279498
- **Authorized official:** DR. AMANDA EWING HASZINGER DDS (OWNER)
- **Authorized official phone:** (504) 443-5882

## Contact information

- **Practice address:** 3645 WILLIAMS BLVD, STE 103, KENNER, LA 70065-3464
- **Practice address phone:** (504) 443-5882
- **Practice address fax:** (504) 324-0952
- **Mailing address:** 3645 WILLIAMS BLVD, STE 103, KENNER, LA 70065-3464
- **Mailing address phone:** (504) 443-5882
- **Mailing address fax:** (504) 324-0952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5802 | LA | — |
| 1223G0001X | General Practice Dentistry | 5799 | LA | Yes |

## Other

- **Enumeration date:** 08/06/2009
- **Last updated:** 08/06/2009