Organization · Type 2 NPI
Ponchartrain Dental, LLC
Dental Clinic/Center · Mandeville, LA
NPI number
1780214866
Active
Practice location
4890 Highway 22 Ste B
Mandeville, LA 70471-6751
Fax (985) 845-8255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Mandeville
About NPI 1780214866
Ponchartrain Dental, LLC's National Provider Identifier is 1780214866, issued on Jan 17, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Mandeville, LA. The record was last updated on Jan 17, 2020.