Individual
DR. BRIAN CHISHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
622 SHADOWS LN STE C, BATON ROUGE, LA 70806-6500
(225) 927-6570
Mailing address
622 SHADOWS LN STE C, BATON ROUGE, LA 70806-6500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6772
LA
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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