| Periodontics And Implant Center Llc | |
|
8202 Kelwood Ave Baton Rouge LA 70806-4801 | |
| (225) 767-2273 | |
| Not Available |
| Full Name | Periodontics And Implant Center Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 8202 Kelwood Ave, Baton Rouge, Louisiana |
| 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 |
|---|---|
| Periodontics And Implant Center Llc 4451 Bluebonnet Blvd Suite F Baton Rouge LA 70809-9646 Ph: (225) 767-2273 | Periodontics And Implant Center Llc 8202 Kelwood Ave Baton Rouge LA 70806-4801 Ph: (225) 767-2273 |
| NPI Number | 1023350543 |
|---|---|
| Provider Enumeration Date | 03/22/2013 |
| Last Update Date | 03/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023350543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 5315 (Louisiana) | Primary |
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