Organization
CLAUDIA CAVALLINO DDS, LLC
Active
Other names
Bayou Children's Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAUDIA ANNE CAVALLINO D.D.S. (DENTIST - OWNER)
(985) 868-8331
Entity
Organization
Contact information
Practice address
4752 HIGHWAY 311 STE 115, HOUMA, LA 70360-2810
(985) 868-8331
(985) 868-8332
Mailing address
4752 HIGHWAY 311 STE 115, HOUMA, LA 70360-2810
(985) 868-8331
(985) 868-8332
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5392
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1853925
—
LA
Enumeration date
08/21/2012
Last updated
08/21/2012
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