Organization
ALEXANDRIA ORAL SURGERY ASSOCIATES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M CARLTON JR. DDS (PARTNER)
(318) 443-7208
Entity
Organization
Contact information
Practice address
1403 PETERMAN DR, ALEXANDRIA, LA 71301-3433
(318) 443-7208
(318) 443-0046
Mailing address
1403 PETERMAN DR, ALEXANDRIA, LA 71301-3433
(318) 443-7208
(318) 443-0046
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881848
—
LA
01
—
817979
UCCI
—
Enumeration date
12/27/2005
Last updated
06/16/2010
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