| Bluebonnet Dental Care Hattiesburg Llc | |
|
6668 Hwy 98 West Ste G Hattiesburg MS 39402 | |
| (225) 767-2273 | |
| Not Available |
| Full Name | Bluebonnet Dental Care Hattiesburg Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6668 Hwy 98 West Ste G, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Andre Bruni (OWNER) |
| Authorized Official Contact | 2257672273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluebonnet Dental Care Hattiesburg Llc 4451 Bluebonnet Blvd Ste F Baton Rouge LA 70809 Ph: () - | Bluebonnet Dental Care Hattiesburg Llc 6668 Hwy 98 West Ste G Hattiesburg MS 39402 Ph: (225) 767-2273 |
| NPI Number | 1154760510 |
|---|---|
| Provider Enumeration Date | 06/19/2013 |
| Last Update Date | 07/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154760510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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