Individual
DR. BROOKE ELIZABETH NAQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12519 AIRLINE HWY STE G, DESTREHAN, LA 70047-2502
(985) 764-7792
Mailing address
12519 AIRLINE HWY STE G, DESTREHAN, LA 70047-2502
(985) 764-7792
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7438
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/15/2023
Last updated
05/13/2024
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