Organization
FABRE FAMILY DENTAL CARE OF MARRERO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH J FABRE JR. DDS (OWNER)
(504) 615-4799
Entity
Organization
Contact information
Practice address
2665 BARATARIA BLVD, MARRERO, LA 70072
(504) 348-4232
(504) 348-8094
Mailing address
PO BOX 5958, METAIRIE, LA 70009-5958
(504) 455-5864
(504) 455-5867
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5874
LA
Other
Enumeration date
06/22/2018
Last updated
06/26/2018
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