Individual
DR. KELLY MARIE MEILLEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2334 GAUSE BLVD E, SLIDELL, LA 70461-4141
(985) 645-9555
(985) 645-9551
Mailing address
2334 GAUSE BLVD E, SLIDELL, LA 70461-4141
(985) 645-9555
(985) 645-9551
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4496
LA
Other
Enumeration date
02/06/2007
Last updated
05/19/2008
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