Individual
DR. BRENT MICHAEL CHAUVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
221 RUE DE JEAN, SUITE 214, LAFAYETTE, LA 70508-8501
(337) 769-0999
(337) 769-1629
Mailing address
134 ONYX ST, LAFAYETTE, LA 70506-5753
(337) 981-1341
(337) 769-1629
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5236
LA
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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