Individual
DANIELLE CELESTE RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4000 GUS YOUNG AVENUE, BATON ROUGE, LA 70802
(225) 389-8850
(225) 389-8853
Mailing address
3502 S CARROLLTON AVE, SUITE A, NEW ORLEANS, LA 70118-4508
(504) 410-3051
(504) 410-3038
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5606
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1856061
—
LA
01
—
5606
STATE LIC
LA
Enumeration date
10/03/2006
Last updated
03/07/2023
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