Individual
DR. KENT RAYMOND MAUDUIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
429 W AIRLINE HWY STE F, LA PLACE, LA 70068-3817
(985) 652-3121
(985) 651-0701
Mailing address
117 BELLE GROVE DR, LA PLACE, LA 70068-5905
(985) 652-4379
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3719
LA
Other
Enumeration date
07/18/2006
Last updated
09/27/2010
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