| La Vie Dental Llc | |
|
109 Johnny Dufrene Dr Raceland LA 70394-2611 | |
| (985) 532-5303 | |
| (985) 532-5305 |
| Full Name | La Vie Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 109 Johnny Dufrene Dr, Raceland, Louisiana |
| Authorized Official Name and Position | Charles James Waguespack (OWNER/DENTIST) |
| Authorized Official Contact | 9855325303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Vie Dental Llc P O Drawer E Mathews LA 70375 Ph: (985) 532-5303 | La Vie Dental Llc 109 Johnny Dufrene Dr Raceland LA 70394-2611 Ph: (985) 532-5303 |
| NPI Number | 1518714211 |
|---|---|
| Provider Enumeration Date | 05/01/2024 |
| Last Update Date | 05/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518714211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Louisiana Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4690 Highway 1, Raceland, LA 70394 Phone: 985-537-1993 | |
Bayou Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Johnny Dufrene Dr, Raceland, LA 70394 Phone: 985-532-3364 |