Individual provider · NPI-1

Dr. Kevin C Astugue, DDS

Dentist, General Practice · New Orleans, LA

NPI number1427433507
StatusActive
Last updated in NPPESMay 2, 2018

Details

NPI
1427433507
Entity type
Individual (NPI-1)
Name
Dr. Kevin C Astugue
Credential
DDS
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 30, 2015
Last updated
May 2, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice6588LAYes

Practice location

100 Robert E. Lee Blvd.
New Orleans, LA 70124-1326

Phone 504-286-3880 · Fax 504-286-3882

Mailing address

100 Robert E. Lee Blvd.
New Orleans, LA 70124-1326

Phone 504-286-3880 · Fax 504-286-3882

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