Organization
DR. DWIGHT D LANDRY A PROFESSIONAL DENTAL CORPORATION - GEISMAR
Active
Other names
Dutchtown Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWIGHT D LANDRY D.D.S (OWNER)
(225) 673-0000
Entity
Organization
Contact information
Practice address
13353 HIGHWAY 73, SUITE A, GEISMAR, LA 70734-3000
(225) 673-0000
(225) 673-1807
Mailing address
13353 HIGHWAY 73, SUITE A, GEISMAR, LA 70734-3000
(225) 673-0000
(225) 673-1807
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3708
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1837083
—
LA
Enumeration date
04/16/2007
Last updated
09/03/2009
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