Individual
DR. EDWIN L BERCIER IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
300 N POLK ST, RAYNE, LA 70578-6551
(337) 334-3581
Mailing address
PO BOX 804, 507 S ARENAS ST, RAYNE, LA 70578-0804
(337) 334-3581
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5548
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1855481
—
LA
Enumeration date
09/05/2006
Last updated
07/08/2007
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