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Organization

STEPHANIE BARLOW DDS LLC

Active
Other names
Northshore Pediatric Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE F. BARLOW DDS (OWNER)
(864) 641-5511
Entity
Organization

Contact information

Practice address
102 FONTAINBLEAU DR STE F2, MANDEVILLE, LA 70471-6519
(985) 317-0656
Mailing address
102 FONTAINBLEAU DR STE F2, MANDEVILLE, LA 70471-6519
(985) 317-0656

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1063865285
LA
05
1255627303
LA
Enumeration date
11/08/2023
Last updated
11/08/2023
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