Organization
IMAGDENT ACADIANA, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS HUNTER PERRET (OWNER)
(337) 232-5332
Entity
Organization
Contact information
Practice address
1225 COOLIDGE BLVD, LAFAYETTE, LA 70503-2620
(337) 232-5332
(337) 232-5655
Mailing address
1225 COOLIDGE BLVD, LAFAYETTE, LA 70503-2620
(337) 232-5332
(337) 232-5655
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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