Organization
CLAYTON J. CHARBONNET JR., D.D.S., A.P.O
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAYTON CHARBONNET JR. D.D.S (DOCTOR)
98534033838
Entity
Organization
Contact information
Practice address
5036 YALE ST, SUITE 301, METAIRIE, LA 70006-3980
(504) 456-7874
Mailing address
5036 YALE ST, SUITE 301, METAIRIE, LA 70006-3980
(504) 456-7874
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2349
LA
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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