Southern Smiles Of Iberia, Inc | |
715 N Lewis St New Iberia LA 70563-2045 | |
(337) 234-2186 | |
(337) 234-1573 |
Full Name | Southern Smiles Of Iberia, Inc |
---|---|
Speciality | Dentist - General Practice |
Location | 715 N Lewis St, New Iberia, Louisiana |
Authorized Official Name and Position | Timothy L Chauvin (OWNER/PRESIDENT) |
Authorized Official Contact | 3372342186 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southern Smiles Of Iberia, Inc 715 N Lewis St New Iberia LA 70563-2045 Ph: (337) 234-2186 | Southern Smiles Of Iberia, Inc 715 N Lewis St New Iberia LA 70563-2045 Ph: (337) 234-2186 |
NPI Number | 1225355076 |
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Provider Enumeration Date | 05/03/2010 |
Last Update Date | 05/03/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225355076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5394 (Louisiana) | Primary |
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