Organization
RONALD J LIUZZA DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD JOSEPH LIUZZA DDS (OWNER PRESIDENT)
(504) 733-1135
Entity
Organization
Contact information
Practice address
1128 CLEARVIEW PKWY, METAIRIE, LA 70001-3418
(504) 733-1135
(504) 736-0998
Mailing address
1128 CLEARVIEW PKWY, METAIRIE, LA 70001-3418
(504) 733-1135
(504) 736-0998
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2996
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2996
BLUE CROSS BLUE SHEILD OF LOUISIANA
LA
01
—
598141
UNITED CONCORDIA
LA
Enumeration date
09/13/2006
Last updated
01/19/2012
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