Organization
LOUISIANA DENTAL PROFESSIONALS, DONOVAN DRONET, DDS, A PROFESSIONAL DE
Active
Parent organization
LOUISIANA DENTAL PROFESSIONALS, DONOVAN DRONET, DDS, A PROFESSIONAL DE
Other names
Magnolia Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOUISIANA DENTAL PROFESSIONALS, DONOVAN DRONET, DDS, A PROFESSIONAL DE
Authorized official
KENDRA WALKER (CREDENTIALING SUPERVISOR)
(217) 540-8312
Entity
Organization
Contact information
Practice address
204 CRESCENT RANCH BLVD, LAFAYETTE, LA 70508-7530
(337) 233-1566
Mailing address
204 CRESCENT RANCH BLVD, LAFAYETTE, LA 70508-7530
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/01/2014
Last updated
10/14/2021
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