BRIAN BRUCE BRAILSFORD

LAKE CHARLES, LA
NPI1114542602
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: LA  7056)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: LA  7056)
Enumeration Date2020-06-10
Last Update Date2024-06-13
Business Address
BRIAN BRUCE BRAILSFORD DDS
2625 DILLARD LOOP STE A
LAKE CHARLES, LA 70607-7721
Phone number: 337-284-0842
Mailing Address
BRIAN BRUCE BRAILSFORD DDS
414 37TH ST
NEW ORLEANS, LA 70124-1438
Phone number: 985-789-3205