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Individual

CLAIRE RAPHAEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
4432 CONLIN ST STE 1A, METAIRIE, LA 70006-2146
(504) 888-9204
Mailing address
4432 CONLIN ST STE 1A, METAIRIE, LA 70006-2146
(504) 888-9204

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6367
LA
225X00000X
Occupational Therapist
Z11759
LA

Other

Enumeration date
09/12/2007
Last updated
05/18/2013
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