Organization
GULF COAST PERIODONTICS & IMPLANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAESAR SWEIDAN DDS (SOLE MANAGER)
(228) 868-9615
Entity
Organization
Contact information
Practice address
11280 E TAYLOR RD, GULFPORT, MS 39503-4038
(228) 868-9615
Mailing address
5024 KEYSTONE BLVD STE A, COVINGTON, LA 70433-7517
(985) 778-0241
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
06/27/2021
Last updated
06/27/2021
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