Individual
DR. CHARLES AUSTIN BOUDREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5589 CANAL BLVD, NEW ORLEANS, LA 70124-2745
(504) 482-3303
(504) 467-9497
Mailing address
5589 CANAL BLVD, NEW ORLEANS, LA 70124-2745
(504) 482-3303
(504) 467-9497
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LA.4049
LA
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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