| Cypress Bend Oral & Maxillofacial Surgery | |
|
106 Rue Bastille Lafayette LA 70508 | |
| (337) 352-2363 | |
| Not Available |
| Full Name | Cypress Bend Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 106 Rue Bastille, Lafayette, Louisiana |
| Authorized Official Name and Position | Justin Stanford (OWNER) |
| Authorized Official Contact | 3373522363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cypress Bend Oral & Maxillofacial Surgery 106 Rue Bastille Lafayette LA 70508 Ph: () - | Cypress Bend Oral & Maxillofacial Surgery 106 Rue Bastille Lafayette LA 70508 Ph: (337) 352-2363 |
| NPI Number | 1346868676 |
|---|---|
| Provider Enumeration Date | 07/13/2020 |
| Last Update Date | 07/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346868676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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