Organization
PARISH PEDIATRIC DENTAL KREWE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN O'HARA CORBIN DDS (PEDIATRIC DENTIST/OWNER)
(225) 485-4122
Entity
Organization
Contact information
Practice address
1515 CHURCH ST, ZACHARY, LA 70791-2748
(225) 485-4122
Mailing address
1515 CHURCH ST, ZACHARY, LA 70791-2748
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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