Organization · Type 2 NPI
Melancon Family Dentistry LLC
Dental Clinic/Center · Broussard, LA
NPI number
1063759736
Active
Practice location
300 W Madison St
Broussard, LA 70518-4518
Fax (337) 837-1278
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 5974 (LA) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
Other dental clinic/center providers in Broussard
About NPI 1063759736
Melancon Family Dentistry LLC's National Provider Identifier is 1063759736, issued on Jan 14, 2013. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Broussard, LA. The record was last updated on Jan 14, 2013.