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Individual

BRYAN PAUL DAIGLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1502 MARTENS DR, HAMMOND, LA 70401-1620
(985) 345-4242
Mailing address
1502 MARTENS DR, HAMMOND, LA 70401-1620
(985) 345-4242

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4869
LA

Other

Enumeration date
12/20/2006
Last updated
07/08/2007
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