PRESTON G BIVONA

SLIDELL, LA
NPI1942949730
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  7297)
Enumeration Date2022-06-01
Last Update Date2022-06-01
Business Address
Dr. PRESTON G BIVONA DDS
480 OAK HARBOR BLVD
SLIDELL, LA 70458-8817
Phone number: 985-649-9455
Mailing Address
Dr. PRESTON G BIVONA DDS
436 TIGER AVE
COVINGTON, LA 70433-5261
Phone number: 504-919-0199
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