Individual
DR. JUSTIN JOHN ANSEL SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4400 TRENTON ST, SUITE I, METAIRIE, LA 70006
(504) 455-3362
(504) 454-3457
Mailing address
4400 TRENTON ST, SUITE I, METAIRIE, LA 70006
(504) 455-3362
(504) 454-3457
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2037
LA
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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