Organization
THOMAS W. MABRY, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS W. MABRY (PRESIDENT)
(985) 646-1421
Entity
Organization
Contact information
Practice address
1241 7TH ST, SUITE A, SLIDELL, LA 70458-2041
(985) 646-1421
Mailing address
1241 7TH ST, SLIDELL, LA 70458-2041
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3713
LA
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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