Individual
DR. JEAN PHILIPPE VIDRINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
717 W LINCOLN RD, VILLE PLATTE, LA 70586-3147
(337) 363-2030
(337) 363-3611
Mailing address
717 W LINCOLN RD, VILLE PLATTE, LA 70586-3147
(337) 363-2030
(337) 363-3611
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4320
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1843202
—
LA
Enumeration date
02/27/2007
Last updated
12/15/2015
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