Individual
ELISE MOURAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6132 MEMPHIS ST, NEW ORLEANS, LA 70124-3039
(504) 250-3599
Mailing address
6132 MEMPHIS ST, NEW ORLEANS, LA 70124-3039
(504) 250-3599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6782
LA
Other
Enumeration date
06/06/2017
Last updated
07/21/2022
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