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NPI Code Detail

MEDICARE: DR. NEIL SURESH OZA D.D.S.

MEDICARE: DR. NEIL SURESH OZA 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 Dentistry5496LA

General Provider Information

NPI Number : 1912003930
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NEIL SURESH OZA D.D.S.
Provider Business Mailing Address
First Line : 8913 BLUEBONNET BLVD
Second Line : SUITE C
City : BATON ROUGE
State : LA
Zip : 70810-2814
Country : US
Telephone Number : 225-766-7379
Fax Number : 225-766-4784
Provider Business Practice Location Address
First Line : 8913 BLUEBONNET BLVD
Second Line : SUITE C
City : BATON ROUGE
State : LA
Zip : 70810-2814
Country : US
Telephone Number : 225-766-7379
Fax Number : 225-766-4784
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2006
Last Update Date : 07/08/2007

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