Individual
DOUGLAS WILLIAM CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1300 PERDIDO ST, RM 8W03B-DENTAL, NEW ORLEANS, LA 70112-2125
(504) 658-2581
Mailing address
1061 ROBERT E LEE BLVD, NEW ORLEANS, LA 70124-4328
(504) 812-0135
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
23078
TX
122300000X
Dentist
Primary
3668
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1836681
—
LA
Enumeration date
04/23/2008
Last updated
04/23/2008
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