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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