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Organization

BREAUX BRIDGE FAMILY DENTISRTY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIXIE DURIO (OFFICE MANAGER)
(337) 442-1647
Entity
Organization

Contact information

Practice address
1329 GRAND POINTE AVE, BREAUX BRIDGE, LA 70517-3921
(337) 442-3164
(337) 332-5159
Mailing address
1329 GRAND POINTE AVE, BREAUX BRIDGE, LA 70517-3921
(337) 442-3164
(337) 332-5159

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
LA

Other

Enumeration date
04/28/2016
Last updated
04/28/2016
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