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Organization

CAROL A STUCKEY DDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CAROL A STUCKEY DDS (OWNER ORTHODONTIST)
(504) 835-1349
Entity
Organization

Contact information

Practice address
701 METAIRIE RD, SUITE 1A 204, METAIRIE, LA 70005
(504) 835-1349
(504) 832-3180
Mailing address
701 METAIRIE RD, SUITE 1A 204, METAIRIE, LA 70005
(504) 835-1349
(504) 832-3180

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3781
LA

Other

Enumeration date
10/14/2006
Last updated
08/22/2020
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