Organization
MARILLAC COMMUNITY HEALTH CENTERS
Active
Other names
Daughters of Charity Health Center Carrollton Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL GRIFFIN (PRESIDENT/CEO)
(504) 207-3060
Entity
Organization
Contact information
Practice address
3201 S CARROLLTON AVE, NEW ORLEANS, LA 70118-4307
(504) 207-3060
Mailing address
3201 S CARROLLTON AVE, NEW ORLEANS, LA 70118-4307
(504) 207-3060
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/17/2012
Last updated
08/17/2012
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