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Organization
DR. MICHAEL BOUDREAUX DDS LLC
Active
Organization
DR. MICHAEL BOUDREAUX DDS LLC
Active
Other names
Southern Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAYLA CYPHERS (OFFICE MANAGER)
(985) 876-5430
Entity
Organization
Contact information
Practice address
761 W TUNNEL BLVD, HOUMA, LA 70360-5545
(985) 876-5430
Mailing address
761 W TUNNEL BLVD, HOUMA, LA 70360-5545
(985) 876-5430
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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