Individual
DR. NICOLE RENEE' BOXBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4061 BEHRMAN HWY, NEW ORLEANS, LA 70114
(504) 368-1990
(504) 366-2319
Mailing address
4061 BEHRMAN HWY, NEW ORLEANS, LA 70114
(504) 368-1990
(504) 366-2319
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2007014391
MO
122300000X
Dentist
5908
LA
1223P0221X
Pediatric Dentistry
Primary
5908
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1859087
—
LA
Enumeration date
08/28/2007
Last updated
02/17/2017
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