Individual
DR. MARIJA GUIDRY LASALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1580 W CAUSEWAY APPROACH, SUITE 5, MANDEVILLE, LA 70471-3033
(985) 727-1133
(985) 727-9944
Mailing address
1580 W CAUSEWAY APPROACH, SUITE 5, MANDEVILLE, LA 70471-3033
(985) 727-1133
(985) 727-9944
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4485
LA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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