Individual
DR. PAUL DEAN VIDRINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
902A SHADY LN, WESTLAKE, LA 70669
(337) 433-1306
(337) 433-1376
Mailing address
902A SHADY LN, WESTLAKE, LA 70669
(337) 433-1306
(337) 433-1376
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3896
LA
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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