Individual
LAUREN MAENZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
909 W ESPLANADE AVE, SUITE 101, KENNER, LA 70065-2700
(504) 464-0202
(504) 464-0264
Mailing address
909 W ESPLANADE AVE, SUITE 101, KENNER, LA 70065-2700
(504) 464-0202
(504) 464-0264
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6703
LA
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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