Organization
KIDS DENTAL ZONE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD L DONALDSON JR. DDS (OWNER)
(985) 641-3988
Entity
Organization
Contact information
Practice address
4001 LAPALCO BLVD, SUITE 16 17 18 19, HARVEY, LA 70058
(504) 340-2004
Mailing address
2960 E GAUSE BLVD, SLIDELL, LA 70461
(985) 641-3988
(985) 646-2536
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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