Individual
DR. KIMBERLY A MENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS., PH.D.
Contact information
Practice address
907 W THOMAS ST, SUITE A, HAMMOND, LA 70401-3037
(985) 230-0200
(985) 230-0600
Mailing address
608 TCHOUPITOULAS ST, NEW ORLEANS, LA 70130-3212
(504) 525-2454
(504) 525-4415
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4497
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841399532
—
LA
05
—
1844977
—
LA
Enumeration date
09/21/2006
Last updated
09/16/2020
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