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GERALD DODD DENTON II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD MPH

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4747

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12832
MS
207R00000X
Internal Medicine Physician
Primary
MD.205740
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00378091
MS
05
2313975
LA
Enumeration date
01/20/2006
Last updated
02/22/2013
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