VINTAGE L DELAHOUSSAYE DDS APDC NPI 1407364730

NPI Information

VINTAGE L DELAHOUSSAYE DDS APDC is a dental clinic center in Lafayette, LA. VINTAGE L DELAHOUSSAYE DDS APDC NPI is 1407364730. The provider is registered as an organization entity type.

The provider's business location address is:

1144 COOLIDGE BLVD STE A
LAFAYETTE, LA
ZIP 70503-622
Phone: (337) 234-8788

The provider's authorized official is Vintage Leblanc .
The authorized official title is Owner/president and has the following contact phone number (337) 234-8788.

The enumeration date for this NPI number is 1/22/2018 and was last updated on 4/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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