Organization
BERTHELOT AND ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARE M BERTHELOT D.D.S. (OWNER/PRESIDENT)
(225) 364-3640
Entity
Organization
Contact information
Practice address
6711 HIGHWAY 1 SOUTH, ADDIS, LA 70710
(225) 364-3640
(225) 364-3643
Mailing address
6711 HIGHWAY 1 SOUTH, ADDIS, LA 70710
(225) 364-3640
(225) 364-3643
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6031
LA
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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