Individual
MR. JOSE DAVID VIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1100 FLORIDA AVE, LSU SCHOOL OF DENTISTRY, NEW ORLEANS, LA 70119
(504) 941-8282
(504) 941-8170
Mailing address
1100 FLORIDA AVE, ROOM #3341, NEW ORLEANS, LA 70119
(504) 941-8184
(504) 941-8170
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
5670
LA
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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