Organization
TONY SOILEAU,DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONY SOILEAU DDS (OWNER)
(337) 234-3551
Entity
Organization
Contact information
Practice address
420 SETTLERS TRACE BLVD, LAFAYETTE, LA 70508-6047
(337) 234-3551
Mailing address
420 SETTLERS TRACE BLVD, LAFAYETTE, LA 70508-6047
(337) 234-3551
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4815
LA
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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