Individual
DR. DAYTON JAMES PRUDHOMME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1600 W VETERANS MEML DR, KAPLAN, LA 70548-3604
(337) 643-6400
Mailing address
10920 LA HWY 699, MAURICE, LA 70555-3601
(985) 687-9022
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6865
LA
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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