Individual
DR. BRIAN DOUGLAS CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
137 BELLEMEADE BLVD, GRETNA, LA 70056-7108
(504) 392-0221
Mailing address
137 BELLEMEADE BLVD, GRETNA, LA 70056-7108
(504) 392-0221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5471
LA
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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