Individual
DR. TALIA CRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
101 SMART PL # B, SLIDELL, LA 70458-2039
(985) 643-2616
Mailing address
PO BOX 24497, NEW ORLEANS, LA 70184-4497
(504) 810-6553
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6742
LA
1223G0001X
General Practice Dentistry
Primary
6742
LA
Other
Enumeration date
06/02/2017
Last updated
10/06/2020
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