Organization
DR. KENNETH H ALFORTISH DDS APDC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH H ALFORTISH DDS (DENTIST)
(504) 368-2792
Entity
Organization
Contact information
Practice address
517 WHITNEY AVENUE, GRETNA, LA 70056
(504) 368-2792
Mailing address
517 WHITNEY AVE, GRETNA, LA 70056-8702
(504) 368-2792
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4524
LA
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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