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Organization
ACADIANA ENDODONTICS
Active
Organization
ACADIANA ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIA REAVES (PRACTICE MANAGER)
(337) 981-0144
Entity
Organization
Contact information
Practice address
4906 AMBASSADOR CAFFERY PKWY BLDG O, LAFAYETTE, LA 70508-6962
(337) 981-0144
(337) 981-0162
Mailing address
4906 AMBASSADOR CAFFERY PKWY BLDG O, LAFAYETTE, LA 70508-6962
(337) 981-0144
(337) 981-0162
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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