| Carlito P Ilawan Dds Covington Inc | |
|
308 South Tyler Street Covington LA 70433 | |
| (504) 453-1409 | |
| Not Available |
| Full Name | Carlito P Ilawan Dds Covington Inc |
|---|---|
| Speciality | Dentist |
| Location | 308 South Tyler Street, Covington, Louisiana |
| Authorized Official Name and Position | Carlito P Ilawan (PRESIDENT) |
| Authorized Official Contact | 5044531409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlito P Ilawan Dds Covington Inc 308 South Tyler Street Covington LA 70433 Ph: (504) 453-1409 | Carlito P Ilawan Dds Covington Inc 308 South Tyler Street Covington LA 70433 Ph: (504) 453-1409 |
| NPI Number | 1881709558 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 08/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881709558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4361 (Louisiana) | Primary |
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