Organization
MORGAN CITY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE MANCUSO DDS (OWNER)
(225) 978-8603
Entity
Organization
Contact information
Practice address
1025 N VICTOR II BLVD STE R, MORGAN CITY, LA 70380-1349
(337) 643-6400
Mailing address
1025 N VICTOR II BLVD STE R, MORGAN CITY, LA 70380-1349
(337) 643-6400
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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