Organization
LOUISIANA DENTAL PROFESSIONALS, DR. JAMINI MWENDO, D.D.S., A PROFESSIO
Active
Parent organization
LOUISIANA DENTAL PROFESSIONALS, DR JIMANI.
Other names
Bluebonnet Dental Care- Gretna
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOUISIANA DENTAL PROFESSIONALS, DR JIMANI.
Authorized official
KIM ZUBER (CRED SUP)
(217) 540-5170
Entity
Organization
Contact information
Practice address
400 LAPALCO BOULEVARD, SUITE B, GRETNA, LA 70056
(504) 392-4384
(504) 433-9401
Mailing address
400 LAPALCO BOULEVARD, SUITE B, GRETNA, LA 70056
(504) 392-4384
(504) 433-9401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
LA
Other
Enumeration date
06/21/2012
Last updated
12/11/2015
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