Organization
LAFAYETTE DENTAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY CHAUVIN DDS (OWNER)
(337) 235-3761
Entity
Organization
Contact information
Practice address
2517 W PINHOOK RD, LAFAYETTE, LA 70508-3374
(337) 235-3761
Mailing address
2517 W PINHOOK RD, LAFAYETTE, LA 70508-3374
(337) 235-3761
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5394
LA
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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