| Bbo, Llc | |
|
1929 Jutland Dr Harvey LA 70058-2360 | |
| (504) 455-1625 | |
| (504) 455-7604 |
| Full Name | Bbo, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1929 Jutland Dr, Harvey, Louisiana |
| Authorized Official Name and Position | Eric Macaluso (OWNER) |
| Authorized Official Contact | 5044551625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bbo, Llc 4429 Chastant St Metairie LA 70006-2053 Ph: (504) 455-1625 | Bbo, Llc 1929 Jutland Dr Harvey LA 70058-2360 Ph: (504) 455-1625 |
| NPI Number | 1164892014 |
|---|---|
| Provider Enumeration Date | 10/05/2015 |
| Last Update Date | 10/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164892014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 5577 (Louisiana) | Primary |
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