| Lafayette Modern Dentistry | |
|
4243 Ambassador Caffery Pkwy, Ste 118 Lafayette LA 70508 | |
| (337) 422-3587 | |
| (337) 214-1675 |
| Full Name | Lafayette Modern Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 4243 Ambassador Caffery Pkwy, Ste 118, Lafayette, Louisiana |
| Authorized Official Name and Position | Jacob Dent (ONWER DOCTOR) |
| Authorized Official Contact | 3374223587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lafayette Modern Dentistry 17000 Red Hill Avenue Irvine CA 92614 Ph: (714) 845-8890 | Lafayette Modern Dentistry 4243 Ambassador Caffery Pkwy, Ste 118 Lafayette LA 70508 Ph: (337) 422-3587 |
| NPI Number | 1538530381 |
|---|---|
| Provider Enumeration Date | 10/19/2015 |
| Last Update Date | 10/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538530381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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