Organization
LOUISIANA DENTAL PROFESSIONALS, DONOVAN DRONET, DDS, A PROFESSIONAL DE
Active
Parent organization
LOUISIANA DENTAL PROFESSIONALS, DONOVAN DRONET, DDS, A PROFESSIONAL DE
Other names
Pelican Park 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
4040 LONESOME RD, MANDEVILLE, LA 70448
(985) 626-5030
(985) 626-5018
Mailing address
4040 LONESOME RD, MANDEVILLE, LA 70448
(985) 626-5030
(985) 626-5018
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
LA
Other
Enumeration date
01/15/2010
Last updated
03/04/2019
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