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Organization
KIM THOMAS JUDICE, DDS FAMILY DENTISTRY
Active
Organization
KIM THOMAS JUDICE, DDS FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM THOMAS JUDICE DDS (OWNER)
(337) 988-0020
Entity
Organization
Contact information
Practice address
111 NOEL DR, LAFAYETTE, LA 70503
(337) 988-0020
(337) 988-0244
Mailing address
111 NOEL DR, LAFAYETTE, LA 70503
(337) 988-0020
(337) 988-0244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3422
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881805
—
LA
Enumeration date
02/28/2007
Last updated
08/22/2020
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