Organization
EXCEPTIONAL DENTAL OF G
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA DOLES (OFFICE MANAGER)
(504) 341-5200
Entity
Organization
Contact information
Practice address
828 AVENUE G, MARRERO, LA 70072-1830
(504) 341-5200
(504) 341-6977
Mailing address
828 AVENUE G, MARRERO, LA 70072-1830
(504) 341-5200
(504) 341-6977
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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