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1104045376
ANGELA KING THIAVILLE
GRETNA, LA
NPI
1104045376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 5667)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
Dr. ANGELA KING THIAVILLE D.D.S.
537 HOLMES BLVD
GRETNA, LA 70056-2838
Phone number: 504-368-9545
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Mailing Address
Dr. ANGELA KING THIAVILLE D.D.S.
525 OLIVE AVE
HARVEY, LA 70058-4453
Phone number: 504-367-7829
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