Organization
KENNETH L. ODINET, JR., D.D.S., M.D., APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH L ODINET JR. D.D.S,, M.D. (OWNER)
(337) 234-8648
Entity
Organization
Contact information
Practice address
200 BEAULLIEU DR, BLDG. 6, LAFAYETTE, LA 70508-7230
(337) 234-8648
(337) 233-0244
Mailing address
200 BEAULLIEU DR, BLDG. 6, LAFAYETTE, LA 70508-7230
(337) 234-8648
(337) 233-0244
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
019937
LA
208200000X
Plastic Surgery Physician
Primary
019937
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1388050
—
LA
Enumeration date
07/26/2011
Last updated
07/26/2011
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