Crescent City Dentistry St. Rose, L.l.c. | |
10964 River Rd Saint Rose LA 70087 | |
(504) 486-9778 | |
Not Available |
Full Name | Crescent City Dentistry St. Rose, L.l.c. |
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Speciality | Dentist - General Practice |
Location | 10964 River Rd, Saint Rose, Louisiana |
Authorized Official Name and Position | Cleopatra Eyvonne Thompson (CEO) |
Authorized Official Contact | 5044869778 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Crescent City Dentistry St. Rose, L.l.c. 8229 Jefferson Hwy Harahan LA 70123-4617 Ph: (504) 739-9778 | Crescent City Dentistry St. Rose, L.l.c. 10964 River Rd Saint Rose LA 70087 Ph: (504) 486-9778 |
NPI Number | 1649542028 |
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Provider Enumeration Date | 02/01/2012 |
Last Update Date | 02/01/2012 |
Identifier | Type | State | Issuer |
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1649542028 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 5373 (Louisiana) | Primary |