Individual
DR. MICHAEL EMILE O'BRIEN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, JD
Contact information
Practice address
8000 G SR I RD, BATON ROUGE, LA 70820-7403
(225) 334-1780
(225) 334-1794
Mailing address
2 LOG CABIN LN, PEARL RIVER, LA 70452-3923
(985) 863-5956
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2372
LA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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