IndividualActive
Marija Lasalle, D.D.S.
NPI 1699873133 · Periodontics · Mandeville, LA
Provider details
- NPI number
- 1699873133
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4485 (LA)
Specialties & taxonomies
Dental Providers
Practice location
1580 W Causeway Approach
Suite 5
Mandeville, LA 70471-3033
Phone: (985) 727-1133
Fax: (985) 727-9944
Approximate (ZIP-level) locationGet directions
Mailing address
1580 W Causeway Approach
Mandeville, LA 70471-3033
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.