| Periodontal Health Specialists, Llc | |
|
2540 Severn Ave Suite 402 Metairie LA 70002-5954 | |
| (504) 887-8205 | |
| Not Available |
| Full Name | Periodontal Health Specialists, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2540 Severn Ave, Metairie, Louisiana |
| Authorized Official Name and Position | Aymee Costales-spindler (OWNER) |
| Authorized Official Contact | 5048878205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontal Health Specialists, Llc 2540 Severn Ave Suite 402 Metairie LA 70002-5954 Ph: (504) 887-8205 | Periodontal Health Specialists, Llc 2540 Severn Ave Suite 402 Metairie LA 70002-5954 Ph: (504) 887-8205 |
| NPI Number | 1992960637 |
|---|---|
| Provider Enumeration Date | 07/22/2008 |
| Last Update Date | 07/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992960637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3763 (Louisiana) | Primary |
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