Organization
AUDUBON FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA ROUSSEL DDS (CO-OWNER)
(225) 927-1515
Entity
Organization
Contact information
Practice address
2925 BRAKLEY DR, BATON ROUGE, LA 70816-2305
(225) 927-1515
(225) 928-3012
Mailing address
2925 BRAKLEY DR, BATON ROUGE, LA 70816-2305
(225) 927-1515
(225) 928-3012
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5276
LA
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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