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Organization
EXCEPTIONAL DENTAL OF SLIDELL
Active
Organization
EXCEPTIONAL DENTAL OF SLIDELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSY CABRERA (CLINIC ADMINISTRATOR)
(985) 643-2616
Entity
Organization
Contact information
Practice address
101 SMART PL, SUITE B, SLIDELL, LA 70458-2039
(985) 643-2616
Mailing address
101 SMART PL, SLIDELL, LA 70458-2039
(985) 643-2616
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/05/2016
Last updated
09/15/2016
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