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Organization

COLLINS BLVD FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUSANNE O CORE DMD (DENTIST)
(985) 809-1889
Entity
Organization

Contact information

Practice address
842 N. COLLINS BLVD, SUITE F, COVINGTON, LA 70433-2759
(985) 809-1889
(985) 809-9553
Mailing address
842 N COLLINS BLVD, SUITE F, COVINGTON, LA 70433-2759
(985) 809-1889
(985) 809-9553

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
08/29/2008
Last updated
08/29/2008
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