Individual
DR. JOHN M. OUBRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1605 KALISTE SALOOM RD, LAFAYETTE, LA 70508-6109
(337) 988-2025
(337) 983-0479
Mailing address
1605 KALISTE SALOOM RD, LAFAYETTE, LA 70508-6109
(337) 988-2025
(337) 983-0479
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
LA3449
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C1376
PROVIDER #
LA
Enumeration date
07/06/2006
Last updated
07/08/2007
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