| NPI | 1154036291 |
|---|---|
| Doing Business As | CONCORD FAMILY DENTAL METAIRIE LLC |
| Entity Type | Organization |
| Authorized Contact | LACEY ANDREOTTA Owner 504-455-5410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-12-13 |