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Organization
BELLE CHASSE DENTAL CENTER LLC
Active
Organization
BELLE CHASSE DENTAL CENTER LLC
Active
Other names
Ivonne I. Castro D.D.S
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVONNE I CASTRO D.D.S. (OWNER)
(504) 391-0000
Entity
Organization
Contact information
Practice address
8000 HIGHWAY 23, BELLE CHASSE, LA 70037-2442
(504) 391-0000
(504) 391-3737
Mailing address
8000 HIGHWAY 23, BELLE CHASSE, LA 70037-2442
(504) 391-0000
(504) 391-3737
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5437
LA
122300000X
Dentist
5625
LA
1223E0200X
Endodontics
5699
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1854379
—
LA
05
—
1856258
—
LA
05
—
1856991
—
LA
Enumeration date
06/15/2010
Last updated
06/15/2010
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