| Michael J Boudreaux Dds | |
|
6860 W Park Ave Suite A Houma LA 70364-2623 | |
| (985) 209-9338 | |
| Not Available |
| Full Name | Michael J Boudreaux Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6860 W Park Ave, Houma, Louisiana |
| Authorized Official Name and Position | Michael Joseph Boudreaux (OWNER) |
| Authorized Official Contact | 9852099338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Boudreaux Dds 6860 W Park Ave Suite A Houma LA 70364-2623 Ph: (985) 209-9338 | Michael J Boudreaux Dds 6860 W Park Ave Suite A Houma LA 70364-2623 Ph: (985) 209-9338 |
| NPI Number | 1134493653 |
|---|---|
| Provider Enumeration Date | 03/01/2012 |
| Last Update Date | 03/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134493653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5906 (Louisiana) | Primary |
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