Individual
MIRANDA LOBELL WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
900 N CAUSEWAY BLVD, METAIRIE, LA 70001-5348
(504) 835-8741
Mailing address
3936 CIVIC ST, METAIRIE, LA 70001-4910
(985) 507-2379
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3471556
ID
1223G0001X
General Practice Dentistry
7453
LA
Other
Enumeration date
07/10/2023
Last updated
05/30/2025
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