Individual
DR. KEITH JOSEPH FABRE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2665 BARATARIA BLVD, MARRERO, LA 70072
(504) 348-4232
(504) 348-8094
Mailing address
P.O. BOX 5958, METAIRIE, LA 70009-6110
(504) 455-5864
(504) 455-5867
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5874
LA
1223G0001X
General Practice Dentistry
Primary
5874
LA
Other
Enumeration date
04/30/2009
Last updated
07/26/2018
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