MICHAEL JOHN PENEGUY

THIBODAUX, LA
NPI1154338457
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: LA  5203)
Enumeration Date2006-08-01
Last Update Date2007-07-08
Business Address
-- MICHAEL JOHN PENEGUY DDS
824 RIDGEFIELD RD
THIBODAUX, LA 70301-2726
Phone number: 985-446-8815
Mailing Address
-- MICHAEL JOHN PENEGUY DDS
PO BOX 630
THIBODAUX, LA 70302-0630
Phone number: 985-446-8815
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