Organization
BRIGHAM AND BRIGHAM PROFESSIONAL
Active
Other names
bossier family dental center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES P BRIGHAM D.D.S (OWNER)
(318) 742-9852
Entity
Organization
Contact information
Practice address
2281 BENTON RD, BOSSIER CITY, LA 71111-3403
(318) 742-9852
Mailing address
2281 BENTON RD, BOSSIER CITY, LA 71111-3403
(318) 742-9852
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4469
LA
Other
Enumeration date
06/26/2009
Last updated
06/26/2009
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