| Bluebonnet Dental Care @ Cordoba | |
|
4906 Ambassador Caffery Pkwy Building I Lafayette LA 70508-6962 | |
| (337) 456-5573 | |
| Not Available |
| Full Name | Bluebonnet Dental Care @ Cordoba |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4906 Ambassador Caffery Pkwy, Lafayette, Louisiana |
| Authorized Official Name and Position | Andre Bruni (OWNER) |
| Authorized Official Contact | 3374565573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluebonnet Dental Care @ Cordoba 4451 Bluebonnet Blvd Suite A Baton Rouge LA 70809-9646 Ph: (225) 767-2273 | Bluebonnet Dental Care @ Cordoba 4906 Ambassador Caffery Pkwy Building I Lafayette LA 70508-6962 Ph: (337) 456-5573 |
| NPI Number | 1093969214 |
|---|---|
| Provider Enumeration Date | 11/14/2008 |
| Last Update Date | 11/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093969214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5315 (Louisiana) | Primary |
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