Bayou Orthodontics Corporation | |
603 Rue De Lion New Iberia LA 70563-2114 | |
(337) 367-1271 | |
Not Available |
Full Name | Bayou Orthodontics Corporation |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 603 Rue De Lion, New Iberia, Louisiana |
Authorized Official Name and Position | Thuy Nguyen (DENTIST/OWNER) |
Authorized Official Contact | 3373671271 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bayou Orthodontics Corporation 603 Rue De Lion New Iberia LA 70563-2114 Ph: (337) 367-1271 | Bayou Orthodontics Corporation 603 Rue De Lion New Iberia LA 70563-2114 Ph: (337) 367-1271 |
NPI Number | 1043595762 |
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Provider Enumeration Date | 10/13/2011 |
Last Update Date | 10/13/2011 |
Identifier | Type | State | Issuer |
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1043595762 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 6182 (Louisiana) | Primary |
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