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Organization
SUSANNE O. CORE DMD PDC FAMILY DENTISTRY
Active
Organization
SUSANNE O. CORE DMD PDC FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNE O. CORE DMD (OWNER)
(985) 630-6906
Entity
Organization
Contact information
Practice address
73193 HWY 25, COVINGTON, LA 70435
(985) 630-6906
(985) 796-5315
Mailing address
73193 HWY 25, COVINGTON, LA 70435
(985) 630-6906
(985) 796-5315
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2392
MS
122300000X
Dentist
3600
MS
Other
Enumeration date
09/23/2011
Last updated
06/23/2016
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