Organization
LSU HEALTH SCIENCES CENTER LSU FACULTY DENTAL PRACTICE
Active
Other names
State Institution
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SYLVIA D MORPHY (PRACTICE MANAGER)
(504) 889-9893
Entity
Organization
Contact information
Practice address
3800 HOUMA BLVD, SUITE 305, METAIRIE, LA 70006
(504) 889-9893
(504) 889-9895
Mailing address
3800 HOUMA BLVD, SUITE 305, METAIRIE, LA 70006
(504) 889-9893
(504) 889-9895
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1880213
—
LA
Enumeration date
09/01/2006
Last updated
08/22/2020
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