| Crescent City Endodontics | |
|
250 Ochsner Blvd Ste 200 Gretna LA 70056-5257 | |
| (504) 391-2324 | |
| Not Available |
| Full Name | Crescent City Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 250 Ochsner Blvd Ste 200, Gretna, Louisiana |
| Authorized Official Name and Position | Cyrous Ardalan (OWNDER) |
| Authorized Official Contact | 6176866629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent City Endodontics 250 Ochsner Blvd Ste 200 Gretna LA 70056-5257 Ph: () - | Crescent City Endodontics 250 Ochsner Blvd Ste 200 Gretna LA 70056-5257 Ph: (504) 391-2324 |
| NPI Number | 1013497262 |
|---|---|
| Provider Enumeration Date | 08/17/2018 |
| Last Update Date | 08/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013497262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 5999 (Louisiana) | Primary |
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