Individual
PATRICK RYAN CECOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1291 FLORIDA AVE SW, DENHAM SPRINGS, LA 70726-4635
(225) 664-4121
Mailing address
808 ATHERTON DR, METAIRIE, LA 70001-5544
(504) 875-8148
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7419
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/07/2023
Last updated
05/31/2023
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