Organization
BELLE CHASSE DENTAL CENTER LLC
Active
Other names
Ivonne I. Castro D.D.S
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVONNE I CASTRO D.D.S. (OWNER)
(504) 391-0000
Entity
Organization
Contact information
Practice address
8000 HIGHWAY 23, BELLE CHASSE, LA 70037-2442
(504) 391-0000
(504) 391-3737
Mailing address
8000 HIGHWAY 23, BELLE CHASSE, LA 70037-2442
(504) 391-0000
(504) 391-3737
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5437
LA
122300000X
Dentist
5625
LA
1223E0200X
Endodontics
5699
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1854379
—
LA
05
—
1856258
—
LA
05
—
1856991
—
LA
Enumeration date
06/15/2010
Last updated
06/15/2010
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