Organization
TULANE FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J SHELTON III D.D.S. (MANAGER)
(504) 304-9929
Entity
Organization
Contact information
Practice address
2504 TULANE AVE, NEW ORLEANS, LA 70119-7445
(504) 304-9929
Mailing address
2504 TULANE AVE, NEW ORLEANS, LA 70119-7445
(504) 304-9929
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6084
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1860841
—
LA
Enumeration date
02/24/2013
Last updated
09/10/2013
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