Individual
DR. BRIDGETTE MICHELLE VIDRINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
506 N COURT ST, OPELOUSAS, LA 70570-5220
(337) 942-3441
(337) 942-3461
Mailing address
506 N COURT ST, OPELOUSAS, LA 70570-5220
(337) 942-3441
(337) 942-3461
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5885
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1858854
—
LA
Enumeration date
05/21/2008
Last updated
06/24/2010
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