Individual
MARIA CHATZINIKOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2204 FORSYTHE AVE, MONROE, LA 71201-3613
(318) 325-4220
Mailing address
2204 FORSYTHE AVE, MONROE, LA 71201-3613
(318) 325-4220
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
6924
LA
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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