Individual
DR. ROBERT EDWARD BRUNS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6860 BLUEBONNET BLVD STE B, BATON ROUGE, LA 70810-1615
(225) 769-0222
(225) 769-0212
Mailing address
6860 BLUEBONNET BLVD STE B, BATON ROUGE, LA 70810-1615
(225) 769-0222
(225) 769-0212
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5173
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134132459
ORGANIZATION NPI
LA
Enumeration date
05/08/2007
Last updated
07/08/2007
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