| Tfdc- Lafayette, Llc | |
|
121 Rue Louis Xiv Ste 2 Lafayette LA 70508 | |
| (337) 984-3408 | |
| (337) 984-9898 |
| Full Name | Tfdc- Lafayette, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 121 Rue Louis Xiv, Lafayette, Louisiana |
| Authorized Official Name and Position | John C Theriot (OWNER) |
| Authorized Official Contact | 3379843408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tfdc- Lafayette, Llc 121 Rue Louis Xiv Ste 2 Lafayette LA 70508 Ph: (337) 984-3408 | Tfdc- Lafayette, Llc 121 Rue Louis Xiv Ste 2 Lafayette LA 70508 Ph: (337) 984-3408 |
| NPI Number | 1952872194 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 12/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952872194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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