Individual
KELLY CHUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4420 CONLIN ST STE 203, METAIRIE, LA 70006-2167
(866) 600-2273
Mailing address
4420 CONLIN ST STE 203, METAIRIE, LA 70006-2167
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7618
LA
Other
Enumeration date
04/02/2019
Last updated
08/12/2024
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