Individual
ADAM BERTHELOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
842 COLLINS BLVD, COVINGTON, LA 70433-2759
(985) 809-1889
Mailing address
6005 CHATEAU LOIRE CIR, MANDEVILLE, LA 70448-7055
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6741
LA
Other
Enumeration date
05/19/2017
Last updated
05/19/2017
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