Doctor Name: | MICHAEL DELANO DAIGLE |
NPI Number: | 1033292008 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DDS |
License Number: | 2578 |
Business Practice Address: | 100 Melissa Lane Houma, LA - 70360 |
Business Phone Number: | 9858688464 |
Business Fax Number: | 9858680333 |
Mailing Address: | 100 Melissa Lane, HOUMA |
State: | LA |
Postal Code: | 70360 |
Phone Number: | 9858688464 |
Fax Number: | 9858680333 |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 08/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204E00000X |
License Number: | 2578 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Oral & Maxillofacial Surgery |
Taxonomy Specialization: | |
Taxonomy Definition: |