Organization
3D IMAGING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD LACOUR (OWNER)
(225) 757-8450
Entity
Organization
Contact information
Practice address
10343 SIEGEN LN STE 1A, BATON ROUGE, LA 70810-4981
(225) 757-8450
(225) 757-8454
Mailing address
10343 SIEGEN LN STE 1A, BATON ROUGE, LA 70810-4981
(225) 757-8450
(225) 757-8454
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
LA5037
LA
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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