Organization
JUAN C. MELGUIZO, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN C. MELGUIZO DDS (DENTIST)
(504) 394-4990
Entity
Organization
Contact information
Practice address
151 MEADOWCREST ST, SUITE B, GRETNA, LA 70056-5256
(504) 394-4990
(504) 394-4903
Mailing address
151 MEADOWCREST ST, SUITE B, GRETNA, LA 70056-5256
(504) 394-4990
(504) 394-4903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LA3179
LA
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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