institution
Ponchartrain Dental, Llc
Dental Clinic/Center in Mandeville, Louisiana
NPI 1780214866

Ponchartrain Dental, Llc is a Dental Clinic/Center based in Mandeville, LA and is specialized in Dental. Ponchartrain Dental, Llc practices in Mandeville, LA. The NPI Number for Ponchartrain Dental, Llc is 1780214866 and holds a License No. (Louisiana).

The current practice location address for Ponchartrain Dental, Llc is 4890 Highway 22 Ste B, Mandeville, LA and can be reached out via phone at 985-845-8244 and via fax at 985-845-8255.

Location: 4890 Highway 22 Ste B, Mandeville, LA, 70471-6751
institution
Provider Profile Details
NPI Number
1780214866
Provider Name
Ponchartrain Dental, Llc
Credential
Provider Entity Type
Organization
Address
4890 Highway 22 Ste B, Mandeville, LA, 70471-6751
Phone Number
985-845-8244
Fax Number
985-845-8255
Provider Enumeration Date
01/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4890 Highway 22 Ste B
City
State
Zip
70471-6751
Phone Number
985-845-8244
Fax Number
985-845-8255
person
Provider Business Mailing Address Details
Address
4890 Highway 22 Ste B
City
State
Zip
70471-6751
Phone Number
985-845-8244
Fax Number
985-845-8255
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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