Organization
B&L DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER BOLES DDS (OWNER)
(318) 248-4986
Entity
Organization
Contact information
Practice address
4279 HIGHWAY 15, MANGHAM, LA 71259-5189
(318) 248-4986
(318) 248-3379
Mailing address
4279 HIGHWAY 15, MANGHAM, LA 71259-5189
(318) 248-4986
(318) 248-3379
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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