Individual
EDWARD DARK STARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 FLORIDA AVE, NEW ORLEANS, LA 70119-2715
(504) 702-5125
Mailing address
3123 SAINT PHILIP ST, NEW ORLEANS, LA 70119-4037
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6878
LA
1223G0001X
General Practice Dentistry
Primary
6878
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
05/05/2020
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