ELLIS D. BRAUD AND FRED A. TENNEY

THIBODAUX, LA
NPI1275061079
Entity TypeOrganization
Authorized ContactELLIS DAVID BRAUD
President
985-446-2888
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2017-05-24
Last Update Date2022-07-21
Business Address
ELLIS D. BRAUD AND FRED A. TENNEY
810 BAYOU LN
THIBODAUX, LA 70301-4906
Phone number: 985-446-2888
Mailing Address
ELLIS D. BRAUD AND FRED A. TENNEY
810 BAYOU LN
THIBODAUX, LA 70301-4906
Phone number: 985-446-2888
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