Organization
JAMES SMITH, DDS AND DANIEL DOMINGUE, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL DOMINGUE DDS (PARTNER)
(337) 235-1523
Entity
Organization
Contact information
Practice address
200 BEAULLIEU DR STE 2, LAFAYETTE, LA 70508-7230
(337) 235-1523
Mailing address
200 BEAULLIEU DR STE 2, LAFAYETTE, LA 70508-7230
(337) 235-1523
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3493
LA
1223G0001X
General Practice Dentistry
Primary
5893
LA
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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