| |
3421 E Causeway Approach Ste A Mandeville LA 70448-3447 | |
(985) 746-1629 | |
(985) 746-1310 |
Full Name | |
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Speciality | Dentist |
Location | 3421 E Causeway Approach Ste A, Mandeville, Louisiana |
Authorized Official Name and Position | Jacob Den (OWNER) |
Authorized Official Contact | 7148458500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8500 | 3421 E Causeway Approach Ste A Mandeville LA 70448-3447 Ph: (985) 746-1629 |
NPI Number | 1609415561 |
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Provider Enumeration Date | 12/24/2019 |
Last Update Date | 05/11/2022 |
Identifier | Type | State | Issuer |
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1609415561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
Randall L. Foto Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 645 Lotus Dr N, B, Mandeville, LA 70471 Phone: 985-626-4447 Fax: 985-674-6688 | |
Grand Dentistry Arbor Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 N. Causeway, Mandeville, LA 70448 Phone: 985-778-0096 | |
Jeffrey L Schwab Dds Apdc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 875 Park Ave, Mandeville, LA 70448 Phone: 985-624-7707 | |
Grand Family Dentistry. Com Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2083 3rd St, Mandeville, LA 70471 Phone: 985-231-5796 Fax: 985-624-8881 | |