Individual
DR. KENNETH MICHAEL LUMINAIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
117 SAINT MICHAEL ST, THIBODAUX, LA 70301-3437
(985) 447-4783
Mailing address
117 SAINT MICHAEL ST, THIBODAUX, LA 70301-3437
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5732
LA
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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