Provider Demographics
NPI:1750642294
Name:PERFECT DENTAL CARE LLC
Entity Type:Organization
Organization Name:PERFECT DENTAL CARE LLC
Other - Org Name:PERFECT DENTAL CARE LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAHAR
Authorized Official - Middle Name:I
Authorized Official - Last Name:ELNAJJAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:504-831-3390
Mailing Address - Street 1:3531 RIDGELAKE DR
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-3615
Mailing Address - Country:US
Mailing Address - Phone:504-831-3390
Mailing Address - Fax:504-831-3391
Practice Address - Street 1:3531 RIDGELAKE DR
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-3615
Practice Address - Country:US
Practice Address - Phone:504-831-3390
Practice Address - Fax:504-831-3391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA58521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty