Organization
DR BRUCE M LOVELACE III A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE MERLE LOVELACE III DDS (PRESIDENT)
(225) 928-0798
Entity
Organization
Contact information
Practice address
8202 KELWOOD AVENUE, BATON ROUGE, LA 70806
(225) 928-0798
(225) 927-8115
Mailing address
8202 KELWOOD AVENUE, BATON ROUGE, LA 70806
(225) 928-0798
(225) 927-8115
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
11/28/2006
Last updated
06/12/2008
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