Organization
LAKESIDE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEY E GROETSCH (OPERATIONS MANAGER)
(504) 833-3200
Entity
Organization
Contact information
Practice address
3000 W ESPLANADE AVE N, SUITE 200, METAIRIE, LA 70002-1877
(504) 833-3200
(504) 833-0813
Mailing address
1000 CW FAGAN DRIVE, SUITE A, HAMMOND, LA 70403
(985) 345-4166
(985) 345-4213
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5293
LA
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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