Individual
JOHNNIE BREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4021 BEHRMAN PL, SUITE Q, NEW ORLEANS, LA 70114-0950
(504) 368-4555
(504) 368-0006
Mailing address
4021 BEHRMAN PL, SUITE Q, NEW ORLEANS, LA 70114-0950
(504) 368-4555
(504) 368-0006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4414
LA
1223G0001X
General Practice Dentistry
4690
TN
Other
Enumeration date
12/15/2006
Last updated
04/05/2012
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