Individual
VICTORIA NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9094 JEFFERSON HWY, BATON ROUGE, LA 70809-2437
(225) 275-5910
Mailing address
404 DIANE CIR, BOGALUSA, LA 70427-8410
(985) 750-8334
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7540
LA
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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