Individual
DENNIS MAESTRI DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1850 GAUSE BLVD E, SUITE 202, SLIDELL, LA 70461-5442
(985) 639-3777
(985) 661-3517
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(985) 643-9704
(985) 643-2813
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
017248
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06354594
—
MS
05
—
1957267
—
LA
Enumeration date
08/03/2005
Last updated
07/14/2016
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