Individual
DR. BRIAN JUDE OLIVIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3116 6TH ST, SUITE 202, METAIRIE, LA 70002-1729
(504) 218-7300
(504) 218-7302
Mailing address
3116 6TH ST, SUITE 202, METAIRIE, LA 70002-1729
(504) 218-7300
(504) 218-7302
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5421
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1854212
—
LA
Enumeration date
04/18/2007
Last updated
07/09/2007
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