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Individual

DR. TIMOTHY LOUIS CHAUVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
104 ENERGY PKWY, LAFAYETTE, LA 70508-3818
(337) 234-2186
(337) 235-3761
Mailing address
104 ENERGY PKWY, LAFAYETTE, LA 70508-3818
(337) 234-2186
(337) 235-3761

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5394
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1687860
UNITED CONCORDIA INS CO'S
05
1853941
LA
Enumeration date
08/12/2006
Last updated
10/04/2013
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