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1376873828
JUSTIN KEITH BONAVENTURE
BATON ROUGE, LA
NPI
1376873828
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 5958)
Enumeration Date
2010-01-06
Last Update Date
2020-04-28
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
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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
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