JAMES SMITH, DDS AND DANIEL DOMINGUE, DDS, LLC
Dentist at Beaullieu Dr, Lafayette, LA

License number
Louisiana 5893
Category
Dentist
Type
General Practice
License number
Louisiana 3493
Category
Dentist
Type
General Practice
Owner
Name: DR. DANIEL DOMINGUE DDS
Title: PARTNER
Phone: (337) 235-1523
Address
Address
200 Beaullieu Dr STE 2, Lafayette, LA 70508
National Provider ID: 1881088110
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JAMES SMITH, D.D.S. & DANIEL DOMINGUE, D.D.S., LLC

Lafayette, LA

Registration:
Mar 7, 2014
Addresses:
200 Beaullieu Dr, Lafayette, LA 70508 (Physical)
C/O J Jerome Smith, Lafayette, LA 70508 (Mailing)
State ID:
41453864K
Business type:
Limited Liability Company
Member:
J. Jerome Smith, D.d.s., A Professional Dental Corporation (Member), 200 Beaullieu Dr, Lafayette, LA 70508 (Physical)
Agent:
J. Jerome Smith, D.d.s,200 Beaullieu Dr, Lafayette, LA 70508 (Physical)

Dentist licenses in Louisiana