Individual
ANASTATIA JOY SIMIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2001 NW EVANGELINE TRWY, LAFAYETTE, LA 70501-1927
(225) 425-5122
Mailing address
2001 NW EVANGELINE TRWY, LAFAYETTE, LA 70501-1927
(225) 425-5122
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2435
VI
1223G0001X
General Practice Dentistry
6912
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10271246
—
LA
Enumeration date
03/13/2017
Last updated
04/28/2021
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