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1708 Manhattan Blvd Harvey LA 70058-3400 | |
(504) 361-5333 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 1708 Manhattan Blvd, Harvey, Louisiana |
Authorized Official Name and Position | Dimetry B Cossich (OWNER) |
Authorized Official Contact | 5043615333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1708 Manhattan Blvd Harvey LA 70058-3400 Ph: (504) 361-5333 | 1708 Manhattan Blvd Harvey LA 70058-3400 Ph: (504) 361-5333 |
NPI Number | 1437462777 |
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Provider Enumeration Date | 07/15/2010 |
Last Update Date | 07/15/2010 |
Identifier | Type | State | Issuer |
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1437462777 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 4266 (Louisiana) | Primary |
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