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Organization

BRIEN FAMILY DENTISTRY

Active
Parent organization
BRIEN FAMILY DENTISTRY
Organization subpart
Yes

Provider details

NPI number
Legal business name
BRIEN FAMILY DENTISTRY
Authorized official
DR. SHANE M BRIEN D.D.S. (DENTIST)
(225) 928-5600
Entity
Organization

Contact information

Practice address
7660 GOODWOOD BLVD, A-101, BATON ROUGE, LA 70806-7667
(225) 928-5600
(225) 928-3925
Mailing address
7660 GOODWOOD BLVD, A-101, BATON ROUGE, LA 70806-7667
(225) 928-5600
(225) 928-3925

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5998
LA

Other

Enumeration date
10/17/2016
Last updated
10/17/2016
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