Organization
THAIKLA,DDS,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THAI K LA DDS (OWNER,DENTIST)
(504) 254-4900
Entity
Organization
Contact information
Practice address
14401B CHEF MENTEUR HWY, NEW ORLEANS, LA 70129-2014
(504) 254-4900
(504) 254-6080
Mailing address
14401B CHEF MENTEUR HWY, NEW ORLEANS, LA 70129-2014
(504) 254-4900
(504) 254-6080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5338
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1853381
—
LA
Enumeration date
03/27/2007
Last updated
08/22/2020
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