Organization
DR. MARK D. ANDERSON
Active
Other names
Mid City Smiles Family Dentsitry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DAVID ANDERSON D.D.S. (OWNER)
(504) 485-6575
Entity
Organization
Contact information
Practice address
3625 CANAL ST, NEW ORLEANS, LA 70119-6110
(504) 485-6575
Mailing address
3625 CANAL ST, NEW ORLEANS, LA 70119-6110
(504) 485-6575
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5228
LA
Other
Enumeration date
07/09/2009
Last updated
08/23/2009
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