| Dr Bruce M Lovelace Iii A Professional Corporation | |
|
8202 Kelwood Avenue Baton Rouge LA 70806 | |
| (225) 928-0798 | |
| (225) 927-8115 |
| Full Name | Dr Bruce M Lovelace Iii A Professional Corporation |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 8202 Kelwood Avenue, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Bruce Merle Lovelace (PRESIDENT) |
| Authorized Official Contact | 2259280798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bruce M Lovelace Iii A Professional Corporation 8202 Kelwood Avenue Baton Rouge LA 70806 Ph: (225) 928-0798 | Dr Bruce M Lovelace Iii A Professional Corporation 8202 Kelwood Avenue Baton Rouge LA 70806 Ph: (225) 928-0798 |
| NPI Number | 1235205659 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 06/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235205659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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