| 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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