Organization · Type 2 NPI
Taylor Houston Shank, Dds, A Professional Dental Corporation
Dental Clinic/Center · Lafayette, LA
NPI number
1245861665
Active
Practice location
313 E Main St
Lafayette, LA 70501-8061
Mailing address
130 Beauchamp Ln
Lafayette, LA 70506-9261
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1245861665
Taylor Houston Shank, Dds, A Professional Dental Corporation's National Provider Identifier is 1245861665, issued on Feb 4, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lafayette, LA. The record was last updated on Feb 4, 2020.