Louisiana Dental Professionals, Jimani Mwendo, D.d.s. is a health care provider in Lafayette, LA. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||4906 Ambassador Caffery Pkwy Bldg I, Lafayette, LA 70508-6962, US|
|Practice Location Phone||337-233-1566|
|Practice Location Fax|
|Legal Business Name||LOUISIANA DENTAL PROFESSIONALS, JIMANI MWENDO, D.D.S.|
|Other Organization Name||MAGNOLIA FAMILY DENTISTRY|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Dec 1, 2014|
|Last Update Date ?||Jun 7, 2017|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Dentist||Dental Providers||General Practice|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Louisiana Dental Professionals, Jimani Mwendo, D.d.s.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Kendra Walker|
|Authorized Official Title/Position||CREDENTIALING SUPERVISOR|
|Authorized Official Phone Number||217-540-8312|