Organization
STEPHEN J DELAHOUSSAYE DDS A PROFESSIONAL DENTAL CORPORATION
Active
Other names
Lakefront Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN DELAHOUSSAYE DDS (OWNER)
(504) 282-5557
Entity
Organization
Contact information
Practice address
7037 CANAL BLVD, STE. 210, NEW ORLEANS, LA 70124-3453
(504) 282-5557
Mailing address
7037 CANAL BLVD, STE. 210, NEW ORLEANS, LA 70124-3453
(504) 282-5557
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5891
LA
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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