Organization
MAURICE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE MANCUSO DDS (OWNER)
(337) 893-2207
Entity
Organization
Contact information
Practice address
8407 MAURICE AVE, MAURICE, LA 70555-4459
(337) 893-2207
Mailing address
8407 MAURICE AVE, MAURICE, LA 70555-4459
(337) 893-2207
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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