Individual
DR. DEBRIELL GROWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3502 S CARROLLTON AVE, NEW ORLEANS, LA 70118-4508
(504) 410-3051
Mailing address
2524 HOLIDAY DR, NEW ORLEANS, LA 70131-5118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6910
LA
Other
Enumeration date
04/30/2017
Last updated
08/16/2018
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