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Organization

EDWARD L. DONALDSON, JR.,DDS APDC AND JILL M DONALDSON, DDS APDC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDWARD LAWRENCE DONALDSON JR. DDS (PARTNER)
(985) 641-3988
Entity
Organization

Contact information

Practice address
2960 GAUSE BLVD E, SLIDELL, LA 70461-4153
(985) 641-3988
(985) 646-2536
Mailing address
2960 GAUSE BLVD E, SLIDELL, LA 70461-4153
(985) 641-3988
(985) 646-2536

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1880191
LA
Enumeration date
05/14/2007
Last updated
08/22/2020
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