Organization
CANAL ST FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYFIELD LOTTEN DDS (DENTIST/OWNER)
(504) 482-5444
Entity
Organization
Contact information
Practice address
2752 CANAL ST, NEW ORLEANS, LA 70119-5502
(504) 482-5444
(504) 486-0482
Mailing address
2752 CANAL ST, NEW ORLEANS, LA 70119-5502
(504) 482-5444
(504) 486-0482
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5042
LA
122300000X
Dentist
5706
LA
122300000X
Dentist
6011
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1850420
—
LA
05
—
1857068
—
LA
05
—
1860115
—
LA
Enumeration date
01/26/2011
Last updated
01/26/2011
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