| Jimani Blackwell Dds Llc | |
|
8015 Maple St New Orleans LA 70118-2738 | |
| (504) 507-0128 | |
| Not Available |
| Full Name | Jimani Blackwell Dds Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8015 Maple St, New Orleans, Louisiana |
| Authorized Official Name and Position | Jimani Blackwell (OWNER/DENTIST) |
| Authorized Official Contact | 5045070128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jimani Blackwell Dds Llc 8015 Maple St New Orleans LA 70118-2738 Ph: (504) 507-0128 | Jimani Blackwell Dds Llc 8015 Maple St New Orleans LA 70118-2738 Ph: (504) 507-0128 |
| NPI Number | 1760082952 |
|---|---|
| Provider Enumeration Date | 10/28/2020 |
| Last Update Date | 10/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760082952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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