SearchLouisiana122300000X

Mandy Ford, DDS

NPI 1902461494 · on the registry since 2019 · sole proprietor

Practice

Address
14243 Highway 90
Boutte, LA 70039
Phone
(985) 758-5110
Clinicians at this address
5

Additional practice sites

  • 4704 Lake Borgne Ave, Metairie, LA

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
390200000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana