Individual
TAYLOR HADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3812 RIDGELAKE DR STE 300, METAIRIE, LA 70002-7233
(504) 849-0190
Mailing address
1504 HOMESTEAD AVE, METAIRIE, LA 70005-1159
(318) 820-1837
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7313
LA
Other
Enumeration date
05/24/2022
Last updated
06/21/2022
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