BLAKE JUDE VIDRINE

BATON ROUGE, LA
NPI1841866969
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  7227)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: AL  D-0006879-C1)
Enumeration Date2021-05-29
Last Update Date2023-05-04
Business Address
Dr. BLAKE JUDE VIDRINE DDS
10330 AIRLINE HWY STE A6
BATON ROUGE, LA 70816-4191
Phone number: 225-308-8000
Mailing Address
Dr. BLAKE JUDE VIDRINE DDS
132 CYPRESS DR
CROWLEY, LA 70526-2008
Phone number: 337-581-5791
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