| The Perioclinic Llc | |
|
337 Metairie Rd Suite 301 Metairie LA 70005-4338 | |
| (504) 831-0800 | |
| (504) 831-0866 |
| Full Name | The Perioclinic Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 337 Metairie Rd, Metairie, Louisiana |
| Authorized Official Name and Position | Hisham F Nasr (DOCTOR/MEMBER) |
| Authorized Official Contact | 5048310800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Perioclinic Llc 337 Metairie Rd Suite 301 Metairie LA 70005-4338 Ph: (504) 831-0800 | The Perioclinic Llc 337 Metairie Rd Suite 301 Metairie LA 70005-4338 Ph: (504) 831-0800 |
| NPI Number | 1467864256 |
|---|---|
| Provider Enumeration Date | 05/28/2014 |
| Last Update Date | 05/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467864256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 4832 (Louisiana) | Primary |
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