Organization · Type 2 NPI
Deepsouth Family Dentistry Metairie
Dental Clinic/Center · Metairie, LA
NPI number
1346756905
Active
Practice location
3939 N Causeway Blvd Ste 104
Metairie, LA 70002-1777
Mailing address
1160 Highway 51
Ponchatoula, LA 70454-6365
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1346756905
Deepsouth Family Dentistry Metairie's National Provider Identifier is 1346756905, issued on Dec 19, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Metairie, LA. The record was last updated on Jun 20, 2018.