Brigham And Brigham Professional

NPI 1023246121 - Dentist - 122300000X

NPI Details
NPI 1023246121
Enumeration Date 06/26/2009
Last Updated 06/26/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name CHARLES P CHARLES
Position OWNER
Phone (318) 742-9852
Fax
Practice Location
2281 BENTON RD
BOSSIER CITY LA, 71111-3403, US
Phone (318) 742-9852
Fax
Business Location
2281 BENTON RD
BOSSIER CITY LA, 71111-3403, US
Phone (318) 742-9852
Fax
Toxanomy
Taxonomy Code 122300000X
License State Louisiana
License Number 4469
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According to our database, Brigham And Brigham Professional NPI is 1023246121, taxonomy code is 122300000X and license number is 4469, license state is located at Louisiana. Brigham And Brigham Professional physically located at 2281 Benton Rd, Bossier City LA, 71111-3403. NPI Number 1033115704 has the healthcare provider type.

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1023246121 NPI number is provided on an as is basis without warranty of any kind. 1023246121 is maintained by the National Plan & Provider Enumeration System. The contents of Brigham And Brigham Professional are for informational purposes only.