Individual
DR. TRENT THOMAS LALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1100 FLORIDA AVE, ENDODONTICS, NEW ORLEANS, LA 70119-2714
(248) 866-0760
Mailing address
1100 FLORIDA AVE, NEW ORLEANS, LA 70119-2714
(248) 866-0760
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
S-696
LA
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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