Provider Demographics
NPI:1114300159
Name:CRAPANZANO-PEREZ, ELIZABETH (DDS)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:
Last Name:CRAPANZANO-PEREZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 SAINT CHARLES AVE
Mailing Address - Street 2:SUITE #202
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-7121
Mailing Address - Country:US
Mailing Address - Phone:504-304-4761
Mailing Address - Fax:504-302-2672
Practice Address - Street 1:3600 SAINT CHARLES AVE
Practice Address - Street 2:SUITE #202
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-7121
Practice Address - Country:US
Practice Address - Phone:504-304-4761
Practice Address - Fax:504-302-2672
Is Sole Proprietor?:No
Enumeration Date:2015-07-08
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6546122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist