| Theriot Family Dental Care Ii | |
|
112 Church Alley New Iberia LA 70560 | |
| (337) 369-6587 | |
| (337) 369-3815 |
| Full Name | Theriot Family Dental Care Ii |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 112 Church Alley, New Iberia, Louisiana |
| Authorized Official Name and Position | John Charles Theriot (OWNER DENTIST) |
| Authorized Official Contact | 3379843408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theriot Family Dental Care Ii 112 Church Alley New Iberia LA 70560 Ph: (337) 369-6587 | Theriot Family Dental Care Ii 112 Church Alley New Iberia LA 70560 Ph: (337) 369-6587 |
| NPI Number | 1487790929 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487790929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5429 (Louisiana) | Primary |
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