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1063681914
IMAGDENT ACADIANA, L.L.C.
LAFAYETTE, LA
NPI
1063681914
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Entity Type
Organization
Authorized Contact
DOUGLAS HUNTER PERRET
Owner
337-232-5332
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2008-02-25
Last Update Date
2008-02-25
Business Address
IMAGDENT ACADIANA, L.L.C.
1225 COOLIDGE BLVD
LAFAYETTE, LA 70503-2620
Phone number: 337-232-5332
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Mailing Address
IMAGDENT ACADIANA, L.L.C.
1225 COOLIDGE BLVD
LAFAYETTE, LA 70503-2620
Phone number: 337-232-5332
Copy
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