Organization
EXCELTH, INCORPORATED
Active
Other names
EXCELth Family Dental Center- Algiers
Organization subpart
No
Provider details
NPI number
Authorized official
MATILDA A TENNESSEE (RCM)
(504) 658-2785
Entity
Organization
Contact information
Practice address
1111 NEWTON STREET, SUITE 207, NEW ORLEANS, LA 70114-2500
(504) 524-1210
Mailing address
1111 NEWTON ST, SUITE 207, NEW ORLEANS, LA 70114-2500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/04/2012
Last updated
01/23/2024
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