Individual
BETTY H ALTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5760 MONTICELLO DRIVE, ST GABRIEL, LA 70776
(225) 642-9676
(225) 642-9676
Mailing address
5760 MONTICELLO DRIVE, ST GABRIEL, LA 70776
(985) 590-0443
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3642
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1836427
—
LA
Enumeration date
04/23/2007
Last updated
07/09/2007
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