Individual
DR. AMY BORDELON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1604 KERR ST STE 104, OPELOUSAS, LA 70570-7803
(337) 942-3221
Mailing address
1604 KERR ST STE 104, OPELOUSAS, LA 70570-7803
(337) 942-3221
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6666
LA
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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