Organization
BIPPO'S NEW ORLEANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL MARIE DONALDSON DDS (PRESIDENT)
(985) 641-7971
Entity
Organization
Contact information
Practice address
2960 GAUSE BLVD E, SLIDELL, LA 70461-4153
(985) 641-7971
(985) 641-5132
Mailing address
2960 GAUSE BLVD E, SLIDELL, LA 70461-4153
(985) 641-7971
(985) 641-5132
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5178
LA
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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