Organization
LOUISIANA PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANIELLE ANDRUS (OFFICE MANGER)
(337) 901-5220
Entity
Organization
Contact information
Practice address
913 S COLLEGE RD STE 100, LAFAYETTE, LA 70503-3061
(337) 901-5220
Mailing address
913 S COLLEGE RD STE 100, LAFAYETTE, LA 70503-3061
(337) 901-5220
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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