| Jacqueline R. Faust, Dds, Llc | |
|
3008 20th St Ste H Metairie LA 70002-4900 | |
| (504) 834-1993 | |
| (504) 834-1620 |
| Full Name | Jacqueline R. Faust, Dds, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3008 20th St Ste H, Metairie, Louisiana |
| Authorized Official Name and Position | Jacqueline R Faust (OWNER) |
| Authorized Official Contact | 5048341993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline R. Faust, Dds, Llc 3008 20th St Ste H Metairie LA 70002-4900 Ph: (504) 834-1993 | Jacqueline R. Faust, Dds, Llc 3008 20th St Ste H Metairie LA 70002-4900 Ph: (504) 834-1993 |
| NPI Number | 1154711802 |
|---|---|
| Provider Enumeration Date | 02/03/2015 |
| Last Update Date | 02/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154711802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5964 (Louisiana) | Primary |
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