| Exceptional Dental Of Metairie, Llc | |
|
1128 Clearview Pkwy Metairie LA 70001-3418 | |
| (504) 900-1195 | |
| Not Available |
| Full Name | Exceptional Dental Of Metairie, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1128 Clearview Pkwy, Metairie, Louisiana |
| Authorized Official Name and Position | Darrell Bourg (OWNER) |
| Authorized Official Contact | 5042326624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exceptional Dental Of Metairie, Llc 1128 Clearview Pkwy Metairie LA 70001-3418 Ph: () - | Exceptional Dental Of Metairie, Llc 1128 Clearview Pkwy Metairie LA 70001-3418 Ph: (504) 900-1195 |
| NPI Number | 1326575945 |
|---|---|
| Provider Enumeration Date | 05/13/2017 |
| Last Update Date | 05/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326575945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5312 (Louisiana) | Primary |
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