Organization
BLUEBONNET DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE BRUNI (OWNER)
(225) 767-2273
Entity
Organization
Contact information
Practice address
4451 BLUEBONNET BLVD, STE A, BATON ROUGE, LA 70809-9639
(225) 767-2273
(225) 769-3395
Mailing address
4451 BLUEBONNET BLVD, STE A, BATON ROUGE, LA 70809-9639
(225) 767-2273
(225) 769-3395
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5315
LA
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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