Individual
DR. JENNI M TRIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
102 SMART PL, SLIDELL, LA 70458-2040
(985) 641-4005
(985) 649-0949
Mailing address
102 SMART PL, SLIDELL, LA 70458-2040
(856) 414-0059
(985) 649-0949
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8082
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326303777
DENTAL
SC
Enumeration date
07/11/2012
Last updated
07/13/2021
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