Organization
EXCEPTIONAL DENTAL OF MID CITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL P B JR. DDS (OWNER)
(504) 232-6624
Entity
Organization
Contact information
Practice address
4141 BIENVILLE ST, SUITE 105, NEW ORLEANS, LA 70119-5149
(504) 232-6624
(504) 340-7207
Mailing address
4141 BIENVILLE ST, SUITE 105, NEW ORLEANS, LA 70119-5149
(504) 232-6624
(504) 340-7207
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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