| Mandeville Center For Dental Excellence | |
|
240 Dalwill Dr Mandeville LA 70471-3372 | |
| (985) 626-4401 | |
| (985) 626-9613 |
| Full Name | Mandeville Center For Dental Excellence |
|---|---|
| Speciality | Dentist |
| Location | 240 Dalwill Dr, Mandeville, Louisiana |
| Authorized Official Name and Position | Charles A Schof (OWNER) |
| Authorized Official Contact | 9856264401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mandeville Center For Dental Excellence 240 Dalwill Dr Mandeville LA 70471-3372 Ph: (985) 626-4401 | Mandeville Center For Dental Excellence 240 Dalwill Dr Mandeville LA 70471-3372 Ph: (985) 626-4401 |
| NPI Number | 1134253818 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134253818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4810 (Louisiana) | Primary |
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