Individual
TONY HAMMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1101 ROBERT BLVD, SLIDELL, LA 70458-2013
(985) 641-8058
Mailing address
1101 ROBERT BLVD, SLIDELL, LA 70458-2013
(985) 641-8058
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6068
LA
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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