Healthcare Provider Details

I. General information

NPI: 1427353549
Provider Name (Legal Business Name): PAOLA MARIA DONAIRE DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2011
Last Update Date: 01/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1304 CLEARVIEW PKWY
METAIRIE LA
70001-3422
US

IV. Provider business mailing address

1304 CLEARVIEW PKWY
METAIRIE LA
70001-3422
US

V. Phone/Fax

Practice location:
  • Phone: 504-455-4660
  • Fax: 504-455-5185
Mailing address:
  • Phone: 504-455-4660
  • Fax: 504-455-5185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number5097
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: