Organization
CRESCENT CITY DENTISTRY ST. ROSE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLEOPATRA EYVONNE THOMPSON D.D.S. (CEO)
(504) 486-9778
Entity
Organization
Contact information
Practice address
10964 RIVER RD, SAINT ROSE, LA 70087
(504) 486-9778
Mailing address
8229 JEFFERSON HWY, HARAHAN, LA 70123-4617
(504) 739-9778
(504) 739-9871
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5373
LA
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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