Individual
MICHAEL THOMAS CERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 FLORIDA AVE, NEW ORLEANS, LA 70119-2715
(504) 941-8212
Mailing address
2100 SAINT THOMAS ST APT 303, NEW ORLEANS, LA 70130-4971
(516) 263-7934
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
11408
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7736
LA
Other
Enumeration date
04/06/2019
Last updated
09/04/2025
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