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Organization
DR. JENNIFER N. BOLES, DDS, LLC
Active
Organization
DR. JENNIFER N. BOLES, DDS, LLC
Active
Other names
Southern Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER NEWTON BOLES (OWNER)
(318) 248-4986
Entity
Organization
Contact information
Practice address
4279 HIGHWAY 15, MANGHAM, LA 71259-5189
(318) 248-4986
(318) 248-3379
Mailing address
4279 HIGHWAY 15, MANGHAM, LA 71259-5189
(318) 248-4986
(318) 248-3379
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5050
LA
Other
Enumeration date
07/21/2010
Last updated
03/15/2023
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