Designer Dental, Llc

NPI 1114328606 - Dentist - 1223G0001X

NPI Details
NPI 1114328606
Enumeration Date 09/16/2014
Last Updated 09/16/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JOVIAN JOVIAN
Position OWNER
Phone (504) 273-7757
Fax (504) 273-7758
Practice Location
10001 LAKE FOREST BLVD
SUITE 509
NEW ORLEANS LA, 70127-6200, US
Phone (504) 273-7757
Fax (504) 273-7758
Business Location
10001 LAKE FOREST BLVD
SUITE 509
NEW ORLEANS LA, 70127-6200, US
Phone (504) 273-7757
Fax (504) 273-7758
Toxanomy
Taxonomy Code 1223G0001X
License State Louisiana
License Number 5693
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According to our database, Designer Dental, Llc NPI is 1114328606, taxonomy code is 1223G0001X and license number is 5693, license state is located at Louisiana. Designer Dental, Llc physically located at 10001 Lake Forest Blvd, New Orleans LA, 70127-6200. NPI Number 1033115704 has the healthcare provider type.

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1114328606 NPI number is provided on an as is basis without warranty of any kind. 1114328606 is maintained by the National Plan & Provider Enumeration System. The contents of Designer Dental, Llc are for informational purposes only.