Organization
DR. MICHAEL BOUDREAUX DDS LLC
Active
Other names
Southern Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAYLA CYPHERS (OFFICE MANAGER)
(985) 876-5430
Entity
Organization
Contact information
Practice address
761 W TUNNEL BLVD, HOUMA, LA 70360-5545
(985) 876-5430
Mailing address
761 W TUNNEL BLVD, HOUMA, LA 70360-5545
(985) 876-5430
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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