Bluebonnet Dental Care @ Mandeville LLC
NPI #1720492291 in Mandeville, Louisiana
Provider Information
- NPI Number
- 1720492291
- Entity Type
- Organization
- Organization Name
- Bluebonnet Dental Care @ Mandeville LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Jun 12, 2014
- Last Updated
- Jun 16, 2014
Practice Location
- Address
- 4040 LONESOME RD
- City
- Mandeville
- State
- Louisiana
- ZIP Code
- 70448-7085
- Phone
- (225) 778-7832
Authorized Official
- Name
- ANDRE BRUNI, DDS
- Title
- CEO
- Phone
- (504) 908-8877
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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