David Kevin Prudhome DDS

NPI 1073526281 - Dentist - 1223G0001X

NPI Details
NPI 1073526281
Gender Male
Enumeration Date 08/15/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
16606 GREENWELL SPRINGS RD
GREENWELL SPRINGS LA, 70739, US
Phone (225) 262-4150
Fax (225) 262-8005
Business Location
16606 GREENWELL SPRINGS RD
GREENWELL SPRINGS LA, 70739, US
Phone (225) 262-4150
Fax (225) 262-8005
Toxanomy
Taxonomy Code 1223G0001X
License State Louisiana
License Number 4507
Remove 1073526281 NPI Number
 

According to our database, Dr. David Kevin Prudhome DDS NPI is 1073526281, taxonomy code is 1223G0001X and license number is 4507, license state is located at Louisiana. David Kevin Prudhome DDS physically located at 16606 Greenwell Springs Rd, Greenwell Springs LA, 70739. NPI Number David Kevin Prudhome DDS has the Individual type.

Sponsored links

1073526281 NPI number is provided on an as is basis without warranty of any kind. 1073526281 is maintained by the National Plan & Provider Enumeration System. The contents of David Kevin Prudhome DDS are for informational purposes only.