ELLIS DAVID BRAUD JR.

THIBODAUX, LA
NPI1356561575
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  2521)
Enumeration Date2007-04-27
Last Update Date2007-07-08
Business Address
-- ELLIS DAVID BRAUD JR. D.D.S.
810 BAYOU LANE
THIBODAUX, LA 70301-4906
Phone number: 985-446-2888
Mailing Address
-- ELLIS DAVID BRAUD JR. D.D.S.
810 BAYOU LN
THIBODAUX, LA 70301-4906
Phone number: 985-446-2888
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