| Louisiana Pediatric Dentistry | |
|
913 S College Rd Ste 100 Lafayette LA 70503-3061 | |
| (337) 901-5220 | |
| Not Available |
| Full Name | Louisiana Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 913 S College Rd Ste 100, Lafayette, Louisiana |
| Authorized Official Name and Position | Danielle Andrus (OFFICE MANGER) |
| Authorized Official Contact | 3379015220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisiana Pediatric Dentistry 913 S College Rd Ste 100 Lafayette LA 70503-3061 Ph: (337) 901-5220 | Louisiana Pediatric Dentistry 913 S College Rd Ste 100 Lafayette LA 70503-3061 Ph: (337) 901-5220 |
| NPI Number | 1992535561 |
|---|---|
| Provider Enumeration Date | 08/07/2024 |
| Last Update Date | 08/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992535561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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