Lige F Dunaway, Iii, Ltd A Professional Dental Corporation | |
121 Representative Row Lafayette LA 70508-3833 | |
(337) 264-1890 | |
(337) 264-1903 |
Full Name | Lige F Dunaway, Iii, Ltd A Professional Dental Corporation |
---|---|
Speciality | Dentist - General Practice |
Location | 121 Representative Row, Lafayette, Louisiana |
Authorized Official Name and Position | Lige Frank Dunaway (OWNER) |
Authorized Official Contact | 3372641890 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lige F Dunaway, Iii, Ltd A Professional Dental Corporation 121 Representative Row Lafayette LA 70508-3833 Ph: (337) 264-1890 | Lige F Dunaway, Iii, Ltd A Professional Dental Corporation 121 Representative Row Lafayette LA 70508-3833 Ph: (337) 264-1890 |
NPI Number | 1053814228 |
---|---|
Provider Enumeration Date | 03/14/2018 |
Last Update Date | 05/10/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053814228 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 4067 (Louisiana) | Primary |
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