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1326575945
EXCEPTIONAL DENTAL OF METAIRIE, LLC
METAIRIE, LA
NPI
1326575945
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Entity Type
Organization
Authorized Contact
DARRELL BOURG
Owner
504-232-6624
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 5312)
Enumeration Date
2017-05-13
Last Update Date
2017-05-13
Business Address
EXCEPTIONAL DENTAL OF METAIRIE, LLC
1128 CLEARVIEW PKWY
METAIRIE, LA 70001-3418
Phone number: 504-900-1195
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Mailing Address
EXCEPTIONAL DENTAL OF METAIRIE, LLC
1128 CLEARVIEW PKWY
METAIRIE, LA 70001-3418
Phone number:
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