Dr. Jennifer N. Boles, Dds, LLC

NPI #1184937906 in Mangham, Louisiana

Provider Information

NPI Number: 1184937906
Entity Type: Organization
Organization Name: Dr. Jennifer N. Boles, Dds, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 21, 2010
Last Updated: Mar 15, 2023

Practice Location

Address: 4279 HIGHWAY 15
City: Mangham
State: Louisiana
ZIP Code: 71259-5189
Phone: (318) 248-4986

Authorized Official

Name: JENNIFER NEWTON BOLES
Title: OWNER
Phone: (318) 248-4986

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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