Individual
SARA GUIDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
556 CARDINAL DR, THIBODAUX, LA 70301-3506
(985) 449-0611
(985) 449-0613
Mailing address
556 CARDINAL DR, THIBODAUX, LA 70301-3506
(985) 449-0611
(985) 449-0613
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5569
LA
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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