Individual
ELIZABETH PONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5140 CHURCH ST, LAFITTE, LA 70067-5256
(504) 689-3373
Mailing address
P.O. BOX 2490, MARRERO, LA 70073
(504) 437-8528
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6493
LA
Other
Enumeration date
03/26/2013
Last updated
08/08/2014
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