Comprehensive Dental Centre
Dentist in Gretna, LA. Organization (NPI-2).
NPI number1376777573
StatusActive
Last updated in NPPESMay 4, 2009
Details
- NPI
- 1376777573
- Entity type
- Organization (NPI-2)
- Legal business name
- Comprehensive Dental Centre
- Organization subpart
- No
- Enumeration date
- May 4, 2009
- Last updated
- May 4, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 4889 | LA | Yes |
Practice location
200 Lapalco BlvdSuite B
Gretna, LA 70056-7113
Phone 504-324-4483 · Fax 504-324-5827
Mailing address
200 Lapalco BlvdSuite B
Gretna, LA 70056-7113
Phone 504-324-4483 · Fax 504-324-5827
Authorized official
Niobe Ali Joseph
Dentist/Owner
5043244483
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