Individual
DR. TAYLOR HOUSTON SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4243 AMBASSADOR CAFFERY PKWY STE 118, LAFAYETTE, LA 70508-7268
(337) 422-3587
Mailing address
206 HEATHEROAK AVE, LAFAYETTE, LA 70506-5834
(337) 852-2803
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6868
LA
Other
Enumeration date
05/20/2018
Last updated
05/20/2018
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