Organization
ASCENSION ORAL SURGERY, LLC
Active
Organization
ASCENSION ORAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK RICHARD JOSEPHS DMD (ORAL AND MAXILLOFACIAL SURGEON)
(225) 744-2660
Entity
Organization
Contact information
Practice address
16260 AIRLINE HWY, SUITE A, PRAIRIEVILLE, LA 70769-4272
(225) 744-2660
(225) 744-2666
Mailing address
16260 AIRLINE HWY, SUITE A, PRAIRIEVILLE, LA 70769-4272
(225) 744-2660
(225) 744-2666
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6296
LA
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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