Organization
USTDDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BONNIE MURO UST D.D.S (DIRECTOR)
(504) 460-3419
Entity
Organization
Contact information
Practice address
3939 HOUMA BLVD, BUILDING 3 SUITE 11, METAIRIE, LA 70006-2931
(504) 887-3311
Mailing address
1029 NURSERY AVE, METAIRIE, LA 70005-2321
(504) 460-3419
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6455
LA
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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