Individual
DR. THOMAS DEMIE FEJES MAINIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5188 HIGHLAND RD, BATON ROUGE, LA 70808-6527
(225) 766-8107
Mailing address
11258 HILLPARK AVE, BATON ROUGE, LA 70810-7790
(225) 326-0828
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7201
LA
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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