Individual
BRETT S RAGUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
242 EAST RAILROAD AVE., PLAMETTO, LA 71358
(337) 623-3533
Mailing address
1280 FRONT ST., COTTONPORT, LA 71327
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5345
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1853453
—
LA
Enumeration date
11/20/2006
Last updated
07/08/2007
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