Individual
DR. JOHN NEAL BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
600 HAIFLEIGH ST, FRANKLIN, LA 70538
(337) 828-1517
(337) 828-5916
Mailing address
600 HAIFLEIGH ST, FRANKLIN, LA 70538
(337) 828-1517
(337) 828-5916
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3760
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1837601
—
LA
Enumeration date
08/29/2006
Last updated
07/08/2007
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