Individual
DR. TOBY GREGORY COTHREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
812 PARK AVE, MANDEVILLE, LA 70448-4921
(985) 624-7400
Mailing address
4500 CLEVELAND PL, METAIRIE, LA 70003-1246
(504) 454-3687
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3265
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1832651
—
LA
Enumeration date
07/09/2006
Last updated
07/08/2007
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