Organization
DRS MELANCON MELANCON & THERIOT A DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA B DARCEY (OFFICE MANAGER)
(985) 873-8451
Entity
Organization
Contact information
Practice address
102 MYSTIC BLVD, HOUMA, LA 70360
(985) 873-8451
(985) 873-8451
Mailing address
102 MYSTIC BLVD, HOUMA, LA 70360
(985) 873-8451
(985) 873-8451
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3005
LA
122300000X
Dentist
4366
LA
122300000X
Dentist
4822
LA
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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