Organization
LAHAYE ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP W LAHAYE JR. DDS MSD (PRESIDENT OFFICER)
(985) 446-0988
Entity
Organization
Contact information
Practice address
100 PECAN CANAL ST, THIBODAUX, LA 70301
(985) 446-0988
(985) 446-0039
Mailing address
100 PECAN CANAL ST, THIBODAUX, LA 70301
(985) 446-0988
(985) 446-0039
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2456
LA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
5412
LA
Other
Enumeration date
09/11/2006
Last updated
08/22/2020
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