Individual
DR. MICHAEL JOSEPH BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
809 W TUNNEL BLVD, HOUMA, LA 70360-5555
(985) 851-1717
(985) 851-7183
Mailing address
761 W TUNNEL BLVD, HOUMA, LA 70360-5545
(985) 876-5430
(985) 876-0455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5906
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1859061
—
LA
Enumeration date
06/25/2008
Last updated
10/04/2023
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