| Corey J Porche Dds Llc | |
|
114 Westside Blvd Houma LA 70364 | |
| (985) 876-2439 | |
| (985) 879-4869 |
| Full Name | Corey J Porche Dds Llc |
|---|---|
| Speciality | Dentist |
| Location | 114 Westside Blvd, Houma, Louisiana |
| Authorized Official Name and Position | Corey J Porche (DENTIST) |
| Authorized Official Contact | 9858762439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corey J Porche Dds Llc 114 Westside Blvd Houma LA 70364 Ph: (985) 876-2439 | Corey J Porche Dds Llc 114 Westside Blvd Houma LA 70364 Ph: (985) 876-2439 |
| NPI Number | 1508908146 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 04/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508908146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5582 (Louisiana) | Primary |
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