Northshore Dental Associates LLC
NPI #1588135404 in Ponchatoula, Louisiana
Provider Information
- NPI Number
- 1588135404
- Entity Type
- Organization
- Organization Name
- Northshore Dental Associates LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 17, 2018
- Last Updated
- Dec 17, 2018
Practice Location
- Address
- 1160 HIGHWAY 51
- City
- Ponchatoula
- State
- Louisiana
- ZIP Code
- 70454-6365
- Phone
- (985) 386-9936
Authorized Official
- Name
- JASON S CHAWLA, DMD
- Title
- OWNER
- Phone
- (985) 774-8104
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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