| Tyler R Mesa Pediatric Dentistry | |
|
2800 Gause Blvd E Ste D Slidell LA 70461-4247 | |
| (985) 259-6737 | |
| Not Available |
| Full Name | Tyler R Mesa Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2800 Gause Blvd E Ste D, Slidell, Louisiana |
| Authorized Official Name and Position | Tyler Mesa (OWNER/PEDIATRIC DENTIST) |
| Authorized Official Contact | 9857058144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler R Mesa Pediatric Dentistry 2800 Gause Blvd E Ste D Slidell LA 70461-4247 Ph: (985) 259-6737 | Tyler R Mesa Pediatric Dentistry 2800 Gause Blvd E Ste D Slidell LA 70461-4247 Ph: (985) 259-6737 |
| NPI Number | 1780301036 |
|---|---|
| Provider Enumeration Date | 10/26/2022 |
| Last Update Date | 10/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780301036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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