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Organization
BREAUX BRIDGE FAMILY DENTISRTY
Active
Organization
BREAUX BRIDGE FAMILY DENTISRTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIXIE DURIO (OFFICE MANAGER)
(337) 442-1647
Entity
Organization
Contact information
Practice address
1329 GRAND POINTE AVE, BREAUX BRIDGE, LA 70517-3921
(337) 442-3164
(337) 332-5159
Mailing address
1329 GRAND POINTE AVE, BREAUX BRIDGE, LA 70517-3921
(337) 442-3164
(337) 332-5159
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
LA
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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