Individual
SCOTT CHRISTOPHER BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
510 GUILBEAU RD, SUITE C-2, LAFAYETTE, LA 70506-8400
(337) 993-0977
(337) 993-0978
Mailing address
103 KETTLE CT, BROUSSARD, LA 70518-5183
(337) 839-8992
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3064
LA
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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