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Individual

DR. PEDRO JOSE CUARTAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
600 VALHI BLVD, HOUMA, LA 70360
(985) 872-3677
(985) 872-3680
Mailing address
600 VALHI BLVD, HOUMA, LA 70360-5976
(985) 872-3677
(985) 872-3680

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5237
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
680560746
TAX-ID
LA
Enumeration date
07/26/2006
Last updated
05/30/2018
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