Individual
DR. CHRISTY MARCELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
156 W MAIN ST, THIBODAUX, LA 70301
(985) 226-1076
Mailing address
1100 FLORIDA AVE, PEDIATRIC DENTISTRY, NEW ORLEANS, LA 70119-2715
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6563
LA
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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