| John C Moreau Jr Dds | |
|
3820 Masonic Dr Alexandria LA 71301-3628 | |
| (318) 442-9555 | |
| (318) 442-0475 |
| Full Name | John C Moreau Jr Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3820 Masonic Dr, Alexandria, Louisiana |
| Authorized Official Name and Position | John C Moreau (OWNER) |
| Authorized Official Contact | 3184429555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John C Moreau Jr Dds 3820 Masonic Dr Alexandria LA 71301-3628 Ph: (318) 442-9555 | John C Moreau Jr Dds 3820 Masonic Dr Alexandria LA 71301-3628 Ph: (318) 442-9555 |
| NPI Number | 1730549700 |
|---|---|
| Provider Enumeration Date | 03/03/2016 |
| Last Update Date | 03/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730549700 | NPI | - | NPPES |
| 1839922 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3992 (Louisiana) | Primary |
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