Organization
CHARLES J ARDOIN II, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY ARDOIN (BUSINESS MANAGER)
(337) 526-7242
Entity
Organization
Contact information
Practice address
4985 HIGHWAY 27 S, SULPHUR, LA 70665-7571
(337) 583-2756
(337) 583-9031
Mailing address
4985 HIGHWAY 27 S, SULPHUR, LA 70665-7571
(337) 583-2756
(337) 583-9031
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4041
LA
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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