Organization
LSU HEALTH SCIENCES CENTER LSU FACULTY DENTAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE K OSBURN (ASSISTANT OFFICE MANAGER)
(504) 889-9893
Entity
Organization
Contact information
Practice address
3800 HOUMA BLVD, SUITE 305, METAIRIE, LA 70006-4182
(504) 889-9893
(504) 889-9895
Mailing address
3800 HOUMA BLVD, SUITE 305, METAIRIE, LA 70006-4182
(504) 889-9893
(504) 889-9895
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1880591
—
LA
Enumeration date
05/02/2007
Last updated
08/22/2020
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