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1205158953
BRIAN MICHAEL ROUNDTREE
THIBODAUX, LA
NPI
1205158953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 6023)
Enumeration Date
2010-02-23
Last Update Date
2010-02-23
Business Address
Dr. BRIAN MICHAEL ROUNDTREE DDS
705 PLANTATION RD
THIBODAUX, LA 70301-4303
Phone number: 985-446-8821
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Mailing Address
Dr. BRIAN MICHAEL ROUNDTREE DDS
705 PLANTATION RD
THIBODAUX, LA 70301-4303
Phone number:
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