Individual
DR. EDWARD JOSEPH BOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3100 GALLERIA DR STE 202, METAIRIE, LA 70001-2196
(504) 456-5033
(504) 456-5057
Mailing address
3100 GALLERIA DR STE 202, METAIRIE, LA 70001-2196
(504) 456-5033
(504) 456-5057
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2577
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A2654
BLUE CROSS BLUE SHIELD
LA
Enumeration date
12/20/2006
Last updated
10/15/2018
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