Individual
DR. CYRUS JON MANSOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1100 FLORIDA AVE, NEW ORLEANS, LA 70119-2715
(504) 619-8700
Mailing address
6377 CANAL BLVD, NEW ORLEANS, LA 70124-3117
(224) 456-9191
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7473
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2023
Last updated
10/25/2023
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