Individual
DR. RENEE BOURGEOIS BIONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
156 W MAIN ST, THIBODAUX, LA 70301-5216
(985) 446-3754
(985) 449-1582
Mailing address
156 W MAIN ST, THIBODAUX, LA 70301-5216
(985) 446-3754
(985) 449-1582
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6263
LA
Other
Enumeration date
08/12/2012
Last updated
08/13/2012
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