Individual
DR. BRUCE J LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1234 DAVID DR, SUITE 105, MORGAN CITY, LA 70380-1300
(985) 385-3707
Mailing address
1234 DAVID DR, SUITE 105, MORGAN CITY, LA 70380-1300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2992
LA
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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