Most Relevant Information
Provider Data
| NPI Number: | 1003560137 |
| Provider Name: | BROOKE VIRGINIA VINTURELLA DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223P0221X |
| Specialty: | Dentist |
| License Number: | 7337 |
Most Important Dates
| Enumeration Date: | 02/08/2022 |
| Last Updated: | 07/01/2024 |
Provider Practice Location
189 GREENBRIER BLVD STE A
COVINGTON
LA
704337297
Practice Location Phone/Fax
| Phone: | 9858925942 |
| Fax: |
Provider Mailing Location
35 RIVERBIRCH CT
MANDEVILLE
LA
704481985
Provider Mailing Phone/Fax
| Phone: | 9852887572 |
| Fax: |