Ellis D. Braud and Fred A. Tenney

NPI #1275061079 in Thibodaux, Louisiana

Provider Information

NPI Number
1275061079
Entity Type
Organization
Organization Name
Ellis D. Braud and Fred A. Tenney
Primary Specialty
Dentist - General Practice
Enumeration Date
May 24, 2017
Last Updated
Jul 21, 2022

Practice Location

Address
810 BAYOU LN
ZIP Code
70301-4906
Phone
(985) 446-2888

Authorized Official

Name
DR. ELLIS DAVID BRAUD JR., DDS
Title
PRESIDENT
Phone
(985) 446-2888

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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