Michael John Peneguy, DDS

NPI #1154338457 in Thibodaux, Louisiana

Provider Information

NPI Number: 1154338457
Entity Type: Individual
Name: Michael John Peneguy, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 824 RIDGEFIELD RD
City: Thibodaux
State: Louisiana
ZIP Code: 70301-2726
Phone: (985) 446-8815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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