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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