# LOUISIANA DENTAL PROFESSIONALS, DR. JAMINI MWENDO, D.D.S., A PROFESSIO

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LOUISIANA DENTAL PROFESSIONALS, DR JIMANI.
- **Other names:** Bluebonnet Dental Care- Gretna
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720341910
- **Legal business name:** LOUISIANA DENTAL PROFESSIONALS, DR JIMANI.
- **Authorized official:** KIM ZUBER (CRED SUP)
- **Authorized official phone:** (217) 540-5170

## Contact information

- **Practice address:** 400 LAPALCO BOULEVARD, SUITE B, GRETNA, LA 70056
- **Practice address phone:** (504) 392-4384
- **Practice address fax:** (504) 433-9401
- **Mailing address:** 400 LAPALCO BOULEVARD, SUITE B, GRETNA, LA 70056
- **Mailing address phone:** (504) 392-4384
- **Mailing address fax:** (504) 433-9401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | LA | Yes |

## Other

- **Enumeration date:** 06/21/2012
- **Last updated:** 12/11/2015