Individual
DR. PHILIP JOSEPH DISALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4741 TRENTON ST, METAIRIE, LA 70006-6517
(504) 455-2501
(504) 455-2564
Mailing address
4741 TRENTON ST, METAIRIE, LA 70006-6517
(504) 455-2501
(504) 455-2564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2701
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1827011
—
LA
Enumeration date
09/13/2006
Last updated
07/08/2007
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