Individual
JOHNNIE L HUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
9804 BLUEBONNET BLVD STE A, BATON ROUGE, LA 70810-6442
(225) 769-1969
(225) 769-1970
Mailing address
9804 BLUEBONNET BLVD STE A, BATON ROUGE, LA 70810-6442
(225) 769-1969
(225) 769-1970
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5249
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1852490
—
LA
Enumeration date
12/19/2006
Last updated
07/02/2009
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