Clyde Lee Rougeou JR. D.D.S. F.A.G.D.

NPI 1851435317 - Dentist - 1223G0001X

NPI Details
NPI 1851435317
Gender Male
Enumeration Date 02/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
814 JEFFERSON TER
SUITE A
NEW IBERIA LA, 70560-5727, US
Phone (337) 365-0361
Fax (337) 365-0361
Business Location
814 JEFFERSON TER
SUITE A
NEW IBERIA LA, 70560-5727, US
Phone (337) 365-0361
Fax (337) 365-0361
Toxanomy
Taxonomy Code 1223G0001X
License State Louisiana
License Number 3494
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According to our database, Dr. Clyde Lee Rougeou JR. D.D.S. F.A.G.D. NPI is 1851435317, taxonomy code is 1223G0001X and license number is 3494, license state is located at Louisiana. Clyde Lee Rougeou JR. D.D.S. F.A.G.D. physically located at 814 Jefferson Ter, New Iberia LA, 70560-5727. NPI Number Clyde Lee Rougeou JR. D.D.S. F.A.G.D. has the Individual type.

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1851435317 NPI number is provided on an as is basis without warranty of any kind. 1851435317 is maintained by the National Plan & Provider Enumeration System. The contents of Clyde Lee Rougeou JR. D.D.S. F.A.G.D. are for informational purposes only.