Individual
DR. CARLOS MIGUEL SUADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15420 SOUTH HARRELLS FERRY RD, SUITE C, BATON ROUGE, LA 70816-2940
(225) 753-5885
(225) 753-5908
Mailing address
15420 SOUTH HARRELLS FERRY RD, SUITE C, BATON ROUGE, LA 70816-2940
(225) 753-5885
(225) 753-5908
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4818
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1848182
—
LA
01
—
856322
UNITED CONCORDIA
—
Enumeration date
10/17/2006
Last updated
02/15/2024
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