| Edward J Boos Dds & Anthony Indovina Dds A Pc | |
|
4224 Houma Blvd Suite 670 Metairie LA 70006-2933 | |
| (504) 446-5033 | |
| (504) 456-5057 |
| Full Name | Edward J Boos Dds & Anthony Indovina Dds A Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 4224 Houma Blvd, Metairie, Louisiana |
| Authorized Official Name and Position | Edward J Boos (OWNER) |
| Authorized Official Contact | 5044565033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward J Boos Dds & Anthony Indovina Dds A Pc 4224 Houma Blvd Suite 670 Metairie LA 70006-2933 Ph: (504) 446-5033 | Edward J Boos Dds & Anthony Indovina Dds A Pc 4224 Houma Blvd Suite 670 Metairie LA 70006-2933 Ph: (504) 446-5033 |
| NPI Number | 1396800553 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 06/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396800553 | NPI | - | NPPES |
| A2654 | Other | LA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | 2577 (Louisiana) | Primary |
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