Individual
DR. LEE BERTHELOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
23840 CHURCH STREET, PLAQUEMINE, LA 70764
(225) 687-3010
(225) 687-4135
Mailing address
23840 CHURCH STREET, PLAQUEMINE, LA 70764
(225) 687-3010
(225) 687-4135
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5783
LA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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