Individual
DR. WASSAN RAPHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4445 PERKINS ST APT 105, METAIRIE, LA 70001-3460
(248) 378-8961
Mailing address
4445 PERKINS ST APT 105, METAIRIE, LA 70001-3460
(248) 378-8961
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7050
LA
1223G0001X
General Practice Dentistry
DS041867
PA
Other
Enumeration date
07/30/2018
Last updated
02/24/2022
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