Individual
MICHAEL S BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
110 VETERANS MEMORIAL BLVD, STE 112, METAIRIE, LA 70005
(504) 833-3368
(504) 831-3331
Mailing address
110 VETERANS MEMORIAL BLVD, STE 112, METAIRIE, LA 70005
(504) 833-3368
(504) 831-3331
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3759
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1837598
—
LA
01
—
850000028
RR
—
01
—
A1893
BLUE CROSS
—
Enumeration date
09/01/2006
Last updated
07/29/2008
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