Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARIJA GUIDRY LASALLE, D.D.S.
Active Sole ProprietorDR. MARIJA GUIDRY LASALLE, D.D.S. is a Periodontology healthcare provider located in MANDEVILLE, Louisiana. NPI 1699873133 is currently active in the NPPES registry. Verify at CMS.
Periodontology · MANDEVILLE, LA
Registration Details
- NPI Number
- 1699873133
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 20, 2006 (19.922846857857 yrs)
- Last Updated
- Jul 8, 2007
- License
-
4485 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1580 W CAUSEWAY APPROACHSUITE 5MANDEVILLE, LA, 704713033Browse LA providers · Browse ZIP 70471
- Phone
- 9857271133
- Fax
- 9857279944
- Primary Specialty
-
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.