Organization
SOUTHERN SMILES OF IBERIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY L CHAUVIN DDS (OWNER/PRESIDENT)
(337) 234-2186
Entity
Organization
Contact information
Practice address
715 N LEWIS ST, NEW IBERIA, LA 70563-2045
(337) 234-2186
(337) 234-1573
Mailing address
715 N LEWIS ST, NEW IBERIA, LA 70563-2045
(337) 234-2186
(337) 234-1573
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5394
LA
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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