Individual
CONNER PATRICK ALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2030 N CAUSEWAY BLVD, MANDEVILLE, LA 70471-3116
(985) 626-3338
Mailing address
2030 N CAUSEWAY BLVD, MANDEVILLE, LA 70471-3116
(985) 276-0206
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7411
LA
Other
Enumeration date
04/20/2023
Last updated
05/23/2023
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