JUSTIN KEITH BONAVENTURE

BATON ROUGE, LA
NPI1376873828
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  5958)
Enumeration Date2010-01-06
Last Update Date2020-04-28
Business Address
Dr. JUSTIN KEITH BONAVENTURE D.D.S.
13702 COURSEY BLVD. BLDG 10, STE C
BATON ROUGE, LA 70817
Phone number: 225-925-2118
Mailing Address
Dr. JUSTIN KEITH BONAVENTURE D.D.S.
13702 COURSEY BLVD. BLDG 10, STE C
BATON ROUGE, LA 70817
Phone number: 225-925-2118