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Organization

EXCEPTIONAL DENTAL OF MID CITY LLC

Active
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Organization

EXCEPTIONAL DENTAL OF MID CITY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARRELL P B JR. DDS (OWNER)
(504) 232-6624
Entity
Organization

Contact information

Practice address
4141 BIENVILLE ST, SUITE 105, NEW ORLEANS, LA 70119-5149
(504) 232-6624
(504) 340-7207
Mailing address
4141 BIENVILLE ST, SUITE 105, NEW ORLEANS, LA 70119-5149
(504) 232-6624
(504) 340-7207

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—

Other

Enumeration date
12/08/2015
Last updated
12/08/2015
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