Organization
CRESCENT CITY ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYROUS ARDALAN DMD (OWNDER)
(617) 686-6629
Entity
Organization
Contact information
Practice address
250 OCHSNER BLVD STE 200, GRETNA, LA 70056-5257
(504) 391-2324
Mailing address
250 OCHSNER BLVD STE 200, GRETNA, LA 70056-5257
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5999
LA
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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