Individual
DR. KIRK GERARD ELLENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2110 I 10 SERVICE RD, SUITE #201, KENNER, LA 70065
(504) 443-3337
(504) 443-3337
Mailing address
2110 I 10 SERVICE RD, SUITE #201, KENNER, LA 70065
(504) 443-3337
(504) 443-3337
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3822
LA
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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