Organization
LOUISIANA DENTAL PROFESSIONALS, DONOVAN DRONET, DDS, A PROFESSIONAL DE
Active
Parent organization
LOUISIANA DENTAL PROFESSIONALS, DONOVAN DRONET, DDS, A PROFESSIONAL DE
Other names
Dental Care at Teche Ridge
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOUISIANA DENTAL PROFESSIONALS, DONOVAN DRONET, DDS, A PROFESSIONAL DE
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
2117 OLD JEANERETTE RD, NEW IBERIA, LA 70563-2910
(337) 365-5865
Mailing address
2117 OLD JEANERETTE RD, NEW IBERIA, LA 70563-2910
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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