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Organization
CRESCENT CITY DENTISTRY ST. ROSE, L.L.C.
Active
Organization
CRESCENT CITY DENTISTRY ST. ROSE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLEOPATRA EYVONNE THOMPSON D.D.S. (CEO)
(504) 486-9778
Entity
Organization
Contact information
Practice address
10964 RIVER RD, SAINT ROSE, LA 70087
(504) 486-9778
Mailing address
8229 JEFFERSON HWY, HARAHAN, LA 70123-4617
(504) 739-9778
(504) 739-9871
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5373
LA
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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