Individual
DR. ANGELA KING THIAVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
537 HOLMES BLVD, GRETNA, LA 70056-2838
(504) 368-9545
(504) 368-5753
Mailing address
525 OLIVE AVE, HARVEY, LA 70058-4453
(504) 367-7829
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5667
LA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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