Organization
PEARL DENTAL GROUP LLC
Active
Other names
Pearl Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE H BRUNI DDS (OWNER)
(225) 256-1163
Entity
Organization
Contact information
Practice address
6031 JONES CREEK RD., BATON ROUGE, LA 70817
(225) 256-1163
(225) 351-8859
Mailing address
11001 HIGHLAND RD, BATON ROUGE, LA 70810-4306
(225) 256-1163
(225) 351-8859
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053523233
NPI
LA
01
—
1639381890
NPI
LA
Enumeration date
09/15/2020
Last updated
05/11/2022
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