Individual
DR. KEN SIMM LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
202 RUE LOUIS XIV, LAFAYETTE, LA 70508-5737
(337) 406-9994
(337) 406-9995
Mailing address
202 RUE LOUIS XIV, LAFAYETTE, LA 70508-5737
(337) 406-9994
(337) 406-9995
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3300
LA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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