Organization
PEDIATRIC DENTAL SPECIALISTS OF LAFAYETTE
Active
Other names
Pediatric Dental Specialists of Lafayette
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SETH ANTHONY DEJEAN DDS (OWNER)
(337) 722-1510
Entity
Organization
Contact information
Practice address
854 KALISTE SALOOM RD STE B, LAFAYETTE, LA 70508-4367
(337) 722-1510
Mailing address
110 CRESCENT RIDGE PL, LAFAYETTE, LA 70503-4116
(225) 505-7074
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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