| Soignet Orthodontics A Professional Corp | |
|
1001 -a East 7th St Thibodaux LA 70301 | |
| (985) 446-5211 | |
| (985) 446-5215 |
| Full Name | Soignet Orthodontics A Professional Corp |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1001 -a East 7th St, Thibodaux, Louisiana |
| Authorized Official Name and Position | Donovan Soignet (PRESIDENT) |
| Authorized Official Contact | 9854465211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soignet Orthodontics A Professional Corp 1001 -a East 7th St Thibodaux LA 70301 Ph: (985) 446-5211 | Soignet Orthodontics A Professional Corp 1001 -a East 7th St Thibodaux LA 70301 Ph: (985) 446-5211 |
| NPI Number | 1902915655 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902915655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 5428 (Louisiana) | Primary |
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