Organization
MICHAEL D. DAIGLE DDS APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DELANO DAIGLE DDS (OWNER)
(985) 868-8464
Entity
Organization
Contact information
Practice address
100 MELISSA LN, HOUMA, LA 70360-4058
(985) 868-8464
(985) 868-0333
Mailing address
100 MELISSA LN, HOUMA, LA 70360-4058
(985) 868-8464
(985) 868-0333
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1825786
—
LA
Enumeration date
08/16/2010
Last updated
08/16/2010
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