Northlake Dental LLC
NPI #1922266576 in Mandeville, Louisiana
Provider Information
- NPI Number
- 1922266576
- Entity Type
- Organization
- Organization Name
- Northlake Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 30, 2008
- Last Updated
- Jul 31, 2020
Practice Location
- Address
- 2030 N CAUSEWAY BLVD
- City
- Mandeville
- State
- Louisiana
- ZIP Code
- 70471-3116
- Phone
- (985) 626-3338
Authorized Official
- Name
- DR. PATRICK SHANNON ALLISON, DDS
- Title
- OWNER
- Phone
- (985) 626-3338
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
| Dentist - General Practice — General Practice |
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