| NPI | 1023246121 |
|---|---|
| Other Name | BOSSIER FAMILY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLES P BRIGHAM Owner 318-742-9852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: LA 4469) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2009-06-26 |