Bluebonnet Dental Care @ Cordoba
Bluebonnet Dental Care @ Cordoba is a General Practice Dentistry in Lafayette, Louisiana. Licensed in Louisiana. Registered with an NPI since 2008.
- Licensed in
- LA
- In the registry since
- 2008
Practice location Address checks out
4906 Ambassador Caffery Pkwy Bldg ILafayette, LA 70508-6962
Phone: (337) 456-5573
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 5315 (LA) |
|---|
Record details
| NPI number | 1093969214 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Andre Bruni — Owner · (337) 456-5573 |
| NPI enumerated | November 14, 2008 |
| Last updated in NPPES | November 14, 2008 |
| Mailing address | 4451 Bluebonnet Blvd, Suite A, Baton Rouge, LA 70809-9646 |
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Kelly Bouillion, DDS
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