Organization
LOUISIANA DENTAL PROFESSIONALS, DONOVAN DRONET, DDS, A PROFESSIONAL DE
Active
Parent organization
LOUISIANA DENTAL PROFESSIONALS, DONOVAN DRONET, DDS, A PROFESSIONAL DE
Other names
Calcasieu Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOUISIANA DENTAL PROFESSIONALS, DONOVAN DRONET, DDS, A PROFESSIONAL DE
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-8426
Entity
Organization
Contact information
Practice address
4459 NELSON RD, SUITE 120, LAKE CHARLES, LA 70605
(337) 656-1179
Mailing address
4459 NELSON RD, SUITE 120, LAKE CHARLES, LA 70605
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/29/2016
Last updated
09/13/2018
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