Edmond J. Ganucheau, Jr DDS, Apdc
Edmond J. Ganucheau, Jr DDS, Apdc provides General Practice Dentistry in Metairie, Louisiana. Licensed in Louisiana. Registered with an NPI since 2012.
- Licensed in
- LA
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
2825 Houma BlvdMetairie, LA 70006-6635 Not confirmed with CMS for 14 years — call before visiting
Phone: (504) 887-3121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 4959 (LA) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 5403 (LA) |
Record details
| NPI number | 1942550470 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bryon Ganucheau — President · (504) 887-3121 |
| NPI enumerated | September 12, 2012 |
| Last updated in NPPES | September 12, 2012 |
| Mailing address | 2825 Houma Blvd, Metairie, LA 70006-6635 |
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