| Mlj Cardinal Llc | |
|
3645 Williams Blvd Ste 104 Kenner LA 70065-3464 | |
| (504) 287-4257 | |
| Not Available |
| Full Name | Mlj Cardinal Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3645 Williams Blvd Ste 104, Kenner, Louisiana |
| Authorized Official Name and Position | Bristol Williams (PARTNER) |
| Authorized Official Contact | 5042874257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mlj Cardinal Llc 4305 Canal St New Orleans LA 70119-5944 Ph: () - | Mlj Cardinal Llc 3645 Williams Blvd Ste 104 Kenner LA 70065-3464 Ph: (504) 287-4257 |
| NPI Number | 1376028720 |
|---|---|
| Provider Enumeration Date | 10/02/2018 |
| Last Update Date | 10/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376028720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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