Individual
DR. JOSEPH ELLIS BERNARD III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
400 LOUISIANA AVE, BOGALUSA, LA 70427-3323
(985) 735-7372
(985) 732-5944
Mailing address
400 LOUISIANA AVE, BOGALUSA, LA 70427-3323
(985) 735-7372
(985) 732-5944
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5307
LA
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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