| Professional Dental Corporation | |
|
1003 W Judge Perez Dr Chalmette LA 70043-4703 | |
| (504) 279-3232 | |
| (504) 277-5318 |
| Full Name | Professional Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1003 W Judge Perez Dr, Chalmette, Louisiana |
| Authorized Official Name and Position | David A Priestly (CO OWNER DENTIST) |
| Authorized Official Contact | 5042793232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Corporation 1003 W Judge Perez Dr Chalmette LA 70043-4703 Ph: (504) 279-3232 | Professional Dental Corporation 1003 W Judge Perez Dr Chalmette LA 70043-4703 Ph: (504) 279-3232 |
| NPI Number | 1700184496 |
|---|---|
| Provider Enumeration Date | 03/04/2011 |
| Last Update Date | 03/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700184496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Louisiana) | Primary |
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Wightman Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2212 Paris Rd, Chalmette, LA 70043 Phone: 504-272-0870 Fax: 504-302-9054 | |
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