Organization
CRAIG S LANDRY DDS A PROF DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG LANDRY (OWNER)
(337) 981-9242
Entity
Organization
Contact information
Practice address
350 DOUCET RD, LAFAYETTE, LA 70503
(337) 981-9242
Mailing address
350 DOUCET RD, LAFAYETTE, LA 70503-3415
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
02/19/2018
Last updated
07/03/2018
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