Lakeside Dental Care

NPI #1447385885 in Metairie, Louisiana

Provider Information

NPI Number: 1447385885
Entity Type: Organization
Organization Name: Lakeside Dental Care
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 23, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 3000 W ESPLANADE AVE N
Address 2: SUITE 200
City: Metairie
State: Louisiana
ZIP Code: 70002-1877
Phone: (504) 833-3200

Authorized Official

Name: LESLEY E GROETSCH
Title: OPERATIONS MANAGER
Phone: (504) 833-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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