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Organization
PERIODONTAL HEALTH SPECIALISTS, LLC
Active
Organization
PERIODONTAL HEALTH SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYMEE COSTALES-SPINDLER D.D.S. (OWNER)
(504) 887-8205
Entity
Organization
Contact information
Practice address
2540 SEVERN AVE, SUITE 402, METAIRIE, LA 70002-5954
(504) 887-8205
Mailing address
2540 SEVERN AVE, SUITE 402, METAIRIE, LA 70002-5954
(504) 887-8205
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3763
LA
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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