Organization
ZACHARY DENTAL ASSOCIATES, LLC
Active
Other names
Louisiana Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH LACOSTE JR. DDS (OWNER)
(985) 893-2240
Entity
Organization
Contact information
Practice address
1081 COPPERMILL BLVD., ZACHARY, LA 70791
(985) 893-2240
Mailing address
600 N HIGHWAY 190, SUITE 200, COVINGTON, LA 70433-5003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3427
LA
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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