Organization
JOSEPH A. YALE, DDS, LLC
Active
Other names
Yale Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ALEXANDER YALE DDS (OWNER)
(225) 664-2646
Entity
Organization
Contact information
Practice address
348 VETERANS BLVD, DENHAM SPRINGS, LA 70726-4721
(225) 664-2646
(225) 664-2640
Mailing address
348 VETERANS BLVD, DENHAM SPRINGS, LA 70726-4721
(225) 664-2646
(225) 664-2640
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5675
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1856754
—
LA
Enumeration date
12/04/2012
Last updated
12/04/2012
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