Organization
THE PERIOCLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HISHAM F NASR DDS (DOCTOR/MEMBER)
(504) 831-0800
Entity
Organization
Contact information
Practice address
337 METAIRIE RD, SUITE 301, METAIRIE, LA 70005-4338
(504) 831-0800
(504) 831-0866
Mailing address
337 METAIRIE RD, SUITE 301, METAIRIE, LA 70005-4338
(504) 831-0800
(504) 831-0866
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4832
LA
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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