Organization
CRESCENT CITY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLEOPATRA EYVONNE THOMPSON D.D.S. (OWNER)
(504) 739-9778
Entity
Organization
Contact information
Practice address
8229 JEFFERSON HWY, HARAHAN, LA 70123
(504) 739-9778
(504) 739-9871
Mailing address
8229 JEFFERSON HWY, HARAHAN, LA 70123
(504) 739-9778
(504) 739-9871
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5373
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1853739
—
LA
Enumeration date
10/03/2006
Last updated
10/31/2011
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