Organization
UPTOWN PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN FALLAHI DDS (MANAGER)
(513) 550-2452
Entity
Organization
Contact information
Practice address
3715 PRYTANIA STREET, SUITE 380, NEW ORLEANS, LA 70115
(513) 550-2452
Mailing address
3715 PRYTANIA STREET, SUITE 380, NEW ORLEANS, LA 70115
(513) 550-2452
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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