ELLIS BRAUD JR., D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1356561575
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 2521 (LA) |
Frequently Asked Questions
NPI 1356561575 is the National Provider Identifier for ELLIS BRAUD JR., D.D.S., a Dentist - General Practice provider located in Thibodaux, LA. This NPI was enumerated on April 27, 2007.
ELLIS BRAUD JR., D.D.S. practices at 810 BAYOU LANE, Thibodaux, LA 70301.
Quick Facts
- NPI
- 1356561575
- Type
- Individual
- Enumerated
- Apr 27, 2007
- Last Updated
- Jul 8, 2007
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