Organization
BRIEN FAMILY DENTRISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE MICHAEL BRIEN D.D.S. (DENTIST)
(225) 928-5600
Entity
Organization
Contact information
Practice address
7660 GOODWOOD BLVD STE A101, BATON ROUGE, LA 70806-7667
(225) 928-5600
Mailing address
7660 GOODWOOD BLVD STE A101, BATON ROUGE, LA 70806-7667
(225) 928-5600
(225) 928-3925
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5998
LA
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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