| Tony Soileau,dds Llc | |
|
420 Settlers Trace Blvd Lafayette LA 70508-6047 | |
| (337) 234-3551 | |
| Not Available |
| Full Name | Tony Soileau,dds Llc |
|---|---|
| Speciality | Dentist |
| Location | 420 Settlers Trace Blvd, Lafayette, Louisiana |
| Authorized Official Name and Position | Tony Soileau (OWNER) |
| Authorized Official Contact | 3372343551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tony Soileau,dds Llc 420 Settlers Trace Blvd Lafayette LA 70508-6047 Ph: (337) 234-3551 | Tony Soileau,dds Llc 420 Settlers Trace Blvd Lafayette LA 70508-6047 Ph: (337) 234-3551 |
| NPI Number | 1821359175 |
|---|---|
| Provider Enumeration Date | 06/04/2012 |
| Last Update Date | 06/04/2012 |
| Medicare PECOS PAC ID | 2062664329 |
|---|---|
| Medicare Enrollment ID | O20121212000543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821359175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4815 (Louisiana) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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