| Provider Type: | Dental Providers |
| Provider Classification: | Dentist |
| Provider Specialization: | General Practice |
| Definition of Specialization: | |
| Address: |
715 N Lewis St Ste D New Iberia, LA 70563-2019 |
| Phone: | (337) 365-0816 |
| Fax: | (337) 365-9796 |
| Gender: | Male |
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