Pediatric Dentist, Pdc

NPI 1003943135 - Dentist - 1223P0221X

NPI Details
NPI 1003943135
Enumeration Date 02/27/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JASON D JASON
Position PRESIDENT
Phone (504) 831-2120
Fax (504) 831-2310
Practice Location
2201 VETERANS MEMORIAL BLVD
SUITE 306
METAIRIE LA, 70002, US
Phone (504) 831-2120
Fax (504) 831-2310
Business Location
2201 VETERANS MEMORIAL BLVD
SUITE 306
METAIRIE LA, 70002, US
Phone (504) 831-2120
Fax (504) 831-2310
Toxanomy
Taxonomy Code 1223P0221X
License State Louisiana
License Number 5132
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According to our database, Pediatric Dentist, Pdc NPI is 1003943135, taxonomy code is 1223P0221X and license number is 5132, license state is located at Louisiana. Pediatric Dentist, Pdc physically located at 2201 Veterans Memorial Blvd, Metairie LA, 70002. NPI Number 1033115704 has the healthcare provider type.

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1003943135 NPI number is provided on an as is basis without warranty of any kind. 1003943135 is maintained by the National Plan & Provider Enumeration System. The contents of Pediatric Dentist, Pdc are for informational purposes only.