| Vintage L Delahoussaye Dds Apdc | |
|
1144 Coolidge Blvd Ste A Lafayette LA 70503-2622 | |
| (337) 234-8788 | |
| Not Available |
| Full Name | Vintage L Delahoussaye Dds Apdc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1144 Coolidge Blvd Ste A, Lafayette, Louisiana |
| Authorized Official Name and Position | Vintage Leblanc (OWNER/PRESIDENT) |
| Authorized Official Contact | 3372348788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vintage L Delahoussaye Dds Apdc 107 Regency Sq Lafayette LA 70508-4221 Ph: (337) 739-3396 | Vintage L Delahoussaye Dds Apdc 1144 Coolidge Blvd Ste A Lafayette LA 70503-2622 Ph: (337) 234-8788 |
| NPI Number | 1407364730 |
|---|---|
| Provider Enumeration Date | 01/22/2018 |
| Last Update Date | 04/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407364730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5523 (Louisiana) | Primary |
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