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Individual

DR. BRYNNER L BONNETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
910 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118-3410
(318) 686-7470
Mailing address
818 KIMBROUGH ST, SHREVEPORT, LA 71104-3922
(318) 219-6620

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7246
LA

Other

Enumeration date
06/10/2021
Last updated
06/10/2021
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