Organization
OMEGA DENTISTRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAESAU HOWARD (OFFICE MANAGER)
(337) 988-9399
Entity
Organization
Contact information
Practice address
2865 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-5944
(337) 988-9399
Mailing address
2865 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-5944
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/12/2006
Last updated
08/22/2020
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