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NPI Code Detail

MEDICARE: DR. ELIOT DAVID GUERIN D.D.S.

MEDICARE: DR. ELIOT DAVID GUERIN D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry4281LA

General Provider Information

NPI Number : 1467468504
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIOT DAVID GUERIN D.D.S.
Provider Business Mailing Address
First Line : 424A HARRISON AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70124-3128
Country : US
Telephone Number : 504-265-0822
Fax Number : 888-408-9405
Provider Business Practice Location Address
First Line : 424A HARRISON AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70124-3128
Country : US
Telephone Number : 504-265-0822
Fax Number : 888-408-9405
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 10/29/2014

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