Organization
CROWN DENTAL SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE PHILLIPS (OWNER)
(504) 334-1230
Entity
Organization
Contact information
Practice address
1533 MELPOMENE ST, NEW ORLEANS, LA 70130-4411
(504) 334-1230
Mailing address
1533 MELPOMENE ST, NEW ORLEANS, LA 70130-4411
(504) 334-1230
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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