PEDIATRIC DENTIST, PDC is a pediatric dentistry dentist in Metairie, LA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. PEDIATRIC DENTIST, PDC NPI is 1003943135. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2201 VETERANS MEMORIAL BLVD
SUITE 306
METAIRIE, LA
ZIP 70002
Phone: (504) 831-2120
Fax: (504) 831-2310
The provider's authorized official is Jason D Parker .
The authorized official title is President and has the following contact phone number (504) 669-8679.
The CLIA number assigned to this NPI record is 19D2084331 - other - ped day health facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/27/2007 and was last updated on 8/22/2020.