Organization
JACQUELINE R. FAUST, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE R FAUST D.D.S. (OWNER)
(504) 834-1993
Entity
Organization
Contact information
Practice address
3008 20TH ST STE H, METAIRIE, LA 70002-4900
(504) 834-1993
(504) 834-1620
Mailing address
3008 20TH ST STE H, METAIRIE, LA 70002-4900
(504) 834-1993
(504) 834-1620
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5964
LA
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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