Individual
DR. BRENT JASON TOUPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2521 MOSS ST, LAFAYETTE, LA 70501-2129
(337) 237-7005
(337) 237-2056
Mailing address
1313 S MARIE ST, RAYNE, LA 70578-5537
(337) 393-2137
(337) 237-2056
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5743
LA
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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