# ANTHONY INDOVINA A P D C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801192836
- **Authorized official:** DR. ANTHONY A. INDOVINA SR. D.D.S. (OWNER/PRESIDENT)
- **Authorized official phone:** (504) 340-2401

## Contact information

- **Practice address:** 5132 LAPALCO BLVD, 2ND FLOOR, MARRERO, LA 70072-4268
- **Practice address phone:** (504) 340-2401
- **Practice address fax:** (504) 340-2423
- **Mailing address:** 5132 LAPALCO BLVD, 2ND FLOOR, MARRERO, LA 70072-4268
- **Mailing address phone:** (504) 340-2401
- **Mailing address fax:** (504) 340-2423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 2650 | LA | Yes |

## Other

- **Enumeration date:** 02/09/2011
- **Last updated:** 02/09/2011