A PROFESSIONAL DENTAL ORGANIZATION

NPI: 1427902709 · Organization · Active

Primary Specialty

Dentist

Practice Location

645 LOTUS DR N STE B
MANDEVILLE, LA 70471-3304 Map ↗
Phone: 985-626-4447

All Specialties & Licenses

  • Dentist Primary

NPI Registration

Enumerated: 2026-02-24

Last CMS Update: 2026-02-24