Individual
DENICE LORRAINE DERBES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6251 GENERAL DIAZ ST, NEW ORLEANS, LA 70124-3055
(504) 486-2876
Mailing address
6251 GENERAL DIAZ ST, NEW ORLEANS, LA 70124-3055
(504) 486-2876
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4176
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A2031
BLUECROSS
LA
Enumeration date
12/30/2006
Last updated
07/08/2007
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