Individual
DR. THOMAS W MABRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1241 7TH ST, SUITE A, SLIDELL, LA 70458-2041
(985) 646-1421
(985) 646-1464
Mailing address
1241 7TH ST, SUITE A, SLIDELL, LA 70458-2041
(985) 646-1421
(985) 646-1464
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3713
LA
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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