Dr. Roy Lawrence Cantrelle, DDS
Dentist, General Practice in Covington, LA. Individual provider (NPI-1).
NPI number1831200252
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1831200252
- Entity type
- Individual (NPI-1)
- Name
- Dr. Roy Lawrence Cantrelle
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 5391 | LA | Yes |
Practice location
600 N Hwy 190Suite 4
Covington, LA 70433
Phone 985-893-5522 · Fax 985-871-0742
Mailing address
4816 Purdue DriveMetairie, LA 70003
Phone 504-885-2373
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