Individual
JYOTI PURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 PERDIDO ST APT A54, NEW ORLEANS, LA 70112-1369
(214) 457-9344
Mailing address
1900 PERDIDO ST APT A54, NEW ORLEANS, LA 70112-1369
(214) 457-9344
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
AL5027087R154
LA
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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