Organization
TAYLOR HOUSTON SHANK, DDS, A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAYLOR HOUSTON SHANK DDS (OWNER, GENERAL DENTIST)
(337) 235-8902
Entity
Organization
Contact information
Practice address
313 E MAIN ST, LAFAYETTE, LA 70501-8061
(337) 235-8902
Mailing address
130 BEAUCHAMP LN, LAFAYETTE, LA 70506-9261
(337) 852-2803
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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