DANIEL JOHN DOMINGUE

LAFAYETTE, LA
NPI1245495951
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NY  053985)
Additional Taxonomies122300000X Dentist
(Licence: LA  5893)
Enumeration Date2008-07-22
Last Update Date2013-01-23
Business Address
Dr. DANIEL JOHN DOMINGUE DDS
200 BEAULLIEU DR. BLDG #2
LAFAYETTE, LA 70508
Phone number: 337-235-1523
Mailing Address
Dr. DANIEL JOHN DOMINGUE DDS
200 BEAULLIEU DR. BLDG #2
LAFAYETTE, LA 70508
Phone number: 337-235-1523
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