| C Marcello Dds, Msd, Llc | |
|
156 W Main St Thibodaux LA 70301-5216 | |
| (985) 446-3754 | |
| Not Available |
| Full Name | C Marcello Dds, Msd, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 156 W Main St, Thibodaux, Louisiana |
| Authorized Official Name and Position | Christy Marcello (DENTIST) |
| Authorized Official Contact | 9854463754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C Marcello Dds, Msd, Llc 156 W Main St Thibodaux LA 70301-5216 Ph: (985) 446-3754 | C Marcello Dds, Msd, Llc 156 W Main St Thibodaux LA 70301-5216 Ph: (985) 446-3754 |
| NPI Number | 1528704756 |
|---|---|
| Provider Enumeration Date | 05/10/2022 |
| Last Update Date | 05/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528704756 | NPI | - | NPPES |
| 1865630 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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C Marcello Dds, Msd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 156 W Main St, Thibodaux, LA 70301 Phone: 985-446-3754 | |
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