| Audubon Family Dentistry | |
|
2925 Brakley Dr Baton Rouge LA 70816-2305 | |
| (225) 927-1515 | |
| (225) 928-3012 |
| Full Name | Audubon Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 2925 Brakley Dr, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Martha Roussel (CO-OWNER) |
| Authorized Official Contact | 2259271515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Audubon Family Dentistry 2925 Brakley Dr Baton Rouge LA 70816-2305 Ph: (225) 927-1515 | Audubon Family Dentistry 2925 Brakley Dr Baton Rouge LA 70816-2305 Ph: (225) 927-1515 |
| NPI Number | 1093179269 |
|---|---|
| Provider Enumeration Date | 04/13/2016 |
| Last Update Date | 04/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093179269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5276 (Louisiana) | Primary |
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