Individual
DR. KENNETH EDWARD ALFORTISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
517 WHITNEY AVE, GRETNA, LA 70056-8702
(504) 368-2792
Mailing address
517 WHITNEY AVE, GRETNA, LA 70056-8702
(504) 368-2792
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1893
LA
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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