Individual
JOHN OCTAVE CLOTWORTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1014 VETERANS BLVD, METAIRIE, LA 70005
(504) 833-4361
(504) 833-4364
Mailing address
1014 VETERANS BLVD., METAIRIE, LA 70005
(504) 833-4361
(504) 833-4364
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2634
LA
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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