Vintage L Delahoussaye DDS Apdc
Vintage L Delahoussaye DDS Apdc is a Dental Clinic/Center in Lafayette, Louisiana. Licensed in Louisiana. Registered with an NPI since 2018.
- Licensed in
- LA
- In the registry since
- 2018
Practice location Address checks out
1144 Coolidge Blvd Ste ALafayette, LA 70503-2622
Phone: (337) 234-8788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 5523 (LA) |
|---|
Record details
| NPI number | 1407364730 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Vintage Leblanc — Owner/President · (337) 234-8788 |
| NPI enumerated | January 22, 2018 |
| Last updated in NPPES | April 19, 2023 |
| Certification date | April 19, 2023 |
| Mailing address | 107 Regency Sq, Lafayette, LA 70508-4221 |
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