Individual provider · Type 1 NPI
Glenn Carl Dubroc Jr., DDS
Orthodontics and Dentofacial Orthopedics Dentistry · New Orleans, LA
Practice location
145 Robert E Lee Blvd, Suite 404
New Orleans, LA 70124-2552
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | LA4420 (LA) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1114951001
Glenn Carl Dubroc Jr., DDS's National Provider Identifier is 1114951001, issued on Jul 10, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in New Orleans, LA. The record was last updated on Jul 8, 2007.