| Complete Family Dentistry | |
|
3231 Kaliste Saloom Rd Lafayette LA 70508-7421 | |
| (337) 981-9848 | |
| (337) 981-9845 |
| Full Name | Complete Family Dentistry |
|---|---|
| Speciality | Clinic/Center |
| Location | 3231 Kaliste Saloom Rd, Lafayette, Louisiana |
| Authorized Official Name and Position | Lalit Gopalji Thanki (PRESIDENT/OWNER) |
| Authorized Official Contact | 3379819848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Family Dentistry 3231 Kaliste Saloom Rd Lafayette LA 70508-7421 Ph: (337) 981-9848 | Complete Family Dentistry 3231 Kaliste Saloom Rd Lafayette LA 70508-7421 Ph: (337) 981-9848 |
| NPI Number | 1053671339 |
|---|---|
| Provider Enumeration Date | 05/21/2012 |
| Last Update Date | 06/19/2012 |
| Medicare PECOS PAC ID | 7012172653 |
|---|---|
| Medicare Enrollment ID | O20120703000570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053671339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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