Individual
MR. RYAN M THIBODAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
815 N CAUSEWAY BLVD, METAIRIE, LA 70001-5345
(504) 831-4009
(504) 702-8180
Mailing address
815 N CAUSEWAY BLVD, METAIRIE, LA 70001-5345
(504) 831-4009
(504) 702-8180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5285
LA
Other
Enumeration date
05/01/2007
Last updated
03/21/2017
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