Organization
MID CITY SMILES FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ANDERSON D.D.S. (OWNER)
(504) 485-6575
Entity
Organization
Contact information
Practice address
3625 CANAL STREET, NEW ORLEANS, LA 70119
(504) 485-6575
Mailing address
3625 CANAL STREET, NEW ORLEANS, LA 70119
(504) 485-6575
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5228
LA
1223G0001X
General Practice Dentistry
6293
LA
1223G0001X
General Practice Dentistry
6564
LA
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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