Individual
BRADLEY COMEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4607 SHERWOOD COMMON BLVD, STE 100, BATON ROUGE, LA 70816-4295
(225) 924-6622
(225) 926-3384
Mailing address
PO BOX 77758, BATON ROUGE, LA 70879-7758
(225) 924-6622
(225) 926-3384
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3597
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1853976
—
LA
Enumeration date
08/31/2006
Last updated
03/17/2014
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