Organization
BRIGHAM AND BRIGHAM SLEEP CARE
Active
Parent organization
BRIGHAM AND BRIGHAM A PROFESSIONAL DENTAL CORP
Other names
Brigham and Brigham Sleep Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIGHAM AND BRIGHAM A PROFESSIONAL DENTAL CORP
Authorized official
JENIFER S BLYTHE (OFFICE MANAGER)
(318) 742-9852
Entity
Organization
Contact information
Practice address
2281 BENTON RD, BOSSIER CITY, LA 71111-3403
(318) 742-9852
(318) 742-2288
Mailing address
2281 BENTON RD, BOSSIER CITY, LA 71111-3403
(318) 742-9852
(318) 742-2288
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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