Organization
B.R. DENTAL SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN DUBOUE DDS (MANAGING MEMBER/ DENTIST)
(504) 390-2847
Entity
Organization
Contact information
Practice address
3121 MARYLAND AVE, KENNER, LA 70065-4727
(504) 390-2847
Mailing address
3121 MARYLAND AVE, KENNER, LA 70065-4727
(504) 390-2847
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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