Individual
MOUSSA H AYOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3455 GOVERNMENT ST, BATON ROUGE, LA 70806-5717
(225) 590-5514
Mailing address
3701 W NAPOLEON AVE, BLDG 1, APP 344, METAIRIE, LA 70001
(313) 377-5342
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7013
LA
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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