Individual
DR. DAMON JOEL DIMARCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
309 GRETNA BLVD, GRETNA, LA 70053-4973
(504) 366-5611
(504) 366-5165
Mailing address
309 GRETNA BLVD, GRETNA, LA 70056
(504) 366-5611
(504) 366-5165
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4691
LA
Other
Enumeration date
05/25/2007
Last updated
12/13/2016
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