Bluebonnet Dental Care @ Cordoba

NPI 1093969214 - Dentist - 1223G0001X

NPI Details
NPI 1093969214
Enumeration Date 11/14/2008
Last Updated 11/14/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ANDRE ANDRE
Position OWNER
Phone (337) 456-5573
Fax
Practice Location
4906 AMBASSADOR CAFFERY PKWY
BUILDING I
LAFAYETTE LA, 70508-6962, US
Phone (337) 456-5573
Fax
Business Location
4451 BLUEBONNET BLVD
SUITE A
BATON ROUGE LA, 70809-9646, US
Phone (225) 767-2273
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Louisiana
License Number 5315
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According to our database, Bluebonnet Dental Care @ Cordoba NPI is 1093969214, taxonomy code is 1223G0001X and license number is 5315, license state is located at Louisiana. Bluebonnet Dental Care @ Cordoba physically located at 4906 Ambassador Caffery Pkwy, Lafayette LA, 70508-6962. NPI Number 1033115704 has the healthcare provider type.

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1093969214 NPI number is provided on an as is basis without warranty of any kind. 1093969214 is maintained by the National Plan & Provider Enumeration System. The contents of Bluebonnet Dental Care @ Cordoba are for informational purposes only.