Individual
DR. BRYANT LOUIS BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13317 N BURNSIDE, GONZALES, LA 70737
(225) 644-4000
Mailing address
8727 SCARLETT DR, BATON ROUGE, LA 70806-8529
(225) 776-7675
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7136
LA
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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