| Theriot Family Dental Care- Youngsville, Llc | |
|
329 Iberia St Youngsville LA 70592-5738 | |
| (337) 856-7268 | |
| Not Available |
| Full Name | Theriot Family Dental Care- Youngsville, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 329 Iberia St, Youngsville, Louisiana |
| Authorized Official Name and Position | John Theriot (OWNER) |
| Authorized Official Contact | 3379843408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theriot Family Dental Care- Youngsville, Llc 329 Iberia St Youngsville LA 70592-5738 Ph: () - | Theriot Family Dental Care- Youngsville, Llc 329 Iberia St Youngsville LA 70592-5738 Ph: (337) 856-7268 |
| NPI Number | 1073123337 |
|---|---|
| Provider Enumeration Date | 08/03/2020 |
| Last Update Date | 08/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073123337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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