Individual
MICHAEL DELANO DAIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 MELISSA LANE, HOUMA, LA 70360
(985) 868-8464
(985) 868-0333
Mailing address
100 MELISSA LANE, HOUMA, LA 70360
(985) 868-8464
(985) 868-0333
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2578
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1825786
—
LA
Enumeration date
10/23/2006
Last updated
08/09/2010
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