Organization
OAK TREE FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CUONG NGUYEN (MANAGER)
(504) 701-7047
Entity
Organization
Contact information
Practice address
1729 LAFAYETTE ST, 200, GRETNA, LA 70053-5775
(504) 227-8577
Mailing address
105 LAVENDER CT, BELLE CHASSE, LA 70037
(504) 701-7047
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6034
LA
Other
Enumeration date
05/15/2012
Last updated
04/13/2016
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