Individual
DAVID CARL DEGENOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3333 KINGMAN ST STE 200, METAIRIE, LA 70006-4236
(504) 885-8863
Mailing address
5529 CHERLYN DR, NEW ORLEANS, LA 70124-1136
(504) 615-8906
(504) 885-8864
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3137
LA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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