Individual
MR. GREGG ALLEN PUTNAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4914 MAGAZINE ST, NEW ORLEANS, LA 70115-1735
(504) 899-1556
Mailing address
4914 MAGAZINE ST, NEW ORLEANS, LA 70115-1735
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
7361
LA
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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