Individual
DR. JAMES TERREBONNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
850 NORTH CANAL BLVD, THIBODAUX, LA 70301
(985) 447-4783
Mailing address
PO BOX 771, GALLIANO, LA 70354-0771
(985) 665-4353
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6487
LA
Other
Enumeration date
07/07/2014
Last updated
07/10/2014
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