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Individual

DR. CHUCK COBY SOILEAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
201 S SAINT CHARLES ST, ABBEVILLE, LA 70510-5901
(337) 893-1521
Mailing address
201 S SAINT CHARLES ST, ABBEVILLE, LA 70510-5901

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5983
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1859834
LA
Enumeration date
06/24/2009
Last updated
02/07/2011
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