Individual
DR. MARCELA LILIANA JOLIVETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
17097 AIRLINE HWY STE 106, PRAIRIEVILLE, LA 70769
(225) 402-4004
(225) 402-4005
Mailing address
17097 AIRLINE HWY STE 106, PRAIRIEVILLE, LA 70769-3576
(225) 402-4004
(225) 402-4005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6602
LA
1223G0001X
General Practice Dentistry
6602
LA
Other
Enumeration date
08/04/2015
Last updated
07/21/2022
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