Organization
MICHAELIS AND LEDOUX ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W MICHAELIS DDS (ORTHODONTIST)
(985) 674-1500
Entity
Organization
Contact information
Practice address
260 DALWILL DR, MANDEVILLE, LA 70471-3372
(985) 674-1500
(985) 674-9188
Mailing address
PO BOX 1582, MANDEVILLE, LA 70470-1582
(985) 674-1500
(985) 674-9188
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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