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2446 Barataria Blvd Suite C Marrero LA 70072-5345 | |
| (504) 347-1015 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 2446 Barataria Blvd, Marrero, Louisiana |
| Authorized Official Name and Position | Aubrey A Baudean (OWNER) |
| Authorized Official Contact | 5043471015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2446 Barataria Blvd Suite C Marrero LA 70072-5345 Ph: (504) 347-1015 | 2446 Barataria Blvd Suite C Marrero LA 70072-5345 Ph: (504) 347-1015 |
| NPI Number | 1982892584 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 10/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982892584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3927 (Louisiana) | Primary |
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