# BELLE CHASSE DENTAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ivonne I. Castro D.D.S
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417278391
- **Authorized official:** DR. IVONNE I CASTRO D.D.S. (OWNER)
- **Authorized official phone:** (504) 391-0000

## Contact information

- **Practice address:** 8000 HIGHWAY 23, BELLE CHASSE, LA 70037-2442
- **Practice address phone:** (504) 391-0000
- **Practice address fax:** (504) 391-3737
- **Mailing address:** 8000 HIGHWAY 23, BELLE CHASSE, LA 70037-2442
- **Mailing address phone:** (504) 391-0000
- **Mailing address fax:** (504) 391-3737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5437 | LA | Yes |
| 122300000X | Dentist | 5625 | LA | — |
| 1223E0200X | Endodontics | 5699 | LA | — |

## Other

- **Enumeration date:** 06/15/2010
- **Last updated:** 06/15/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1854379 | — | LA |
| 05 | — | 1856258 | — | LA |
| 05 | — | 1856991 | — | LA |
