institution
Pediatric Dentist, Pdc
Pediatric Dentist in Metairie, Louisiana
NPI 1003943135

Pediatric Dentist, Pdc is a Pediatric Dentist based in Metairie, LA and is specialized in Pediatric Dentistry. Pediatric Dentist, Pdc practices in Metairie, LA. The NPI Number for Pediatric Dentist, Pdc is 1003943135 and holds a License No. 5132 (Louisiana).

The current practice location address for Pediatric Dentist, Pdc is 2201 Veterans Memorial Blvd, Metairie, LA and can be reached out via phone at 504-831-2120 and via fax at 504-831-2310. You can also correspond with Pediatric Dentist, Pdc through the mailing address at 2201 VETERANS MEMORIAL BLVD, METAIRIE, LA - 70002 (mailing address contact number: 504-831-2120).

Location: 2201 Veterans Memorial Blvd, Metairie, LA, 70002
institution
Provider Profile Details
NPI Number
1003943135
Provider Name
Pediatric Dentist, Pdc
Credential
Provider Entity Type
Organization
Address
2201 Veterans Memorial Blvd, Metairie, LA, 70002
Phone Number
504-831-2120
Fax Number
504-831-2310
Provider Enumeration Date
02/27/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1851329 05 LA
institution
Provider Business Practice Location Address Details
Address
2201 Veterans Memorial Blvd
City
State
Zip
70002
Phone Number
504-831-2120
Fax Number
504-831-2310
person
Provider Business Mailing Address Details
Address
2201 Veterans Memorial Blvd
City
State
Zip
70002
Phone Number
504-831-2120
Fax Number
504-831-2310
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
5132 (Louisiana)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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