Organization
DR RONNIE MCVAE VINSON DDS MPH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONNIE MCVAE VINSON SR. DDS MPH (GENERAL DENTIST)
(504) 282-3354
Entity
Organization
Contact information
Practice address
2136 MIRABEAU AVE, NEW ORLEANS, LA 70122
(504) 282-3354
(504) 283-8326
Mailing address
2136 MIRABEAU AVE, NEW ORLEANS, LA 70122
(504) 282-3354
(504) 283-8326
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1826707
LA
122300000X
Dentist
8916
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1826707
—
LA
Enumeration date
08/29/2007
Last updated
07/28/2008
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