Individual
DR. MARTHA JENNILEE NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5454 CYPRESS ST, WEST MONROE, LA 71291-7508
(318) 396-0054
(318) 397-0850
Mailing address
5454 CYPRESS ST, WEST MONROE, LA 71291-7508
(318) 396-0054
(318) 397-0850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6262
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1862622
—
LA
Enumeration date
06/11/2012
Last updated
11/05/2024
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