Individual
DR. LOUIS RUSSELL BRANDAU III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7053 PROVIDENCE PARK DR S, MOBILE, AL 36695-4621
(251) 635-1892
(251) 635-1894
Mailing address
7053 PROVIDENCE PARK DR S, MOBILE, AL 36695-4621
(251) 635-1892
(251) 635-1894
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4356
AL
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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