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Organization
JOSEPH B. MARINO, JR. D.D.S., P.C.
Active
Organization
JOSEPH B. MARINO, JR. D.D.S., P.C.
Active
Other names
Lakefront Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH ASHLEY SHEPPARD (OFFICE MANAGER)
(504) 282-5557
Entity
Organization
Contact information
Practice address
7037 CANAL BLVD, SUITE 210, NEW ORLEANS, LA 70124-3453
(504) 282-5557
(504) 286-0038
Mailing address
7037 CANAL BLVD, SUITE 210, NEW ORLEANS, LA 70124-3453
(504) 282-5557
(504) 286-0038
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3433
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116446
CIGNA HMO
LA
01
—
4386829440
BCBS OF LA
LA
01
—
578120
UCCI
LA
01
—
67024104
BCBS OF AL
LA
Enumeration date
05/01/2007
Last updated
08/22/2020
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