Organization
THERIOT FAMILY DENTAL CARE-PERKINS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNIE THERIOT (OWNER)
(337) 258-4939
Entity
Organization
Contact information
Practice address
1930 PERKINS RD, BATON ROUGE, LA 70808-1483
(225) 344-0391
Mailing address
121 RUE LOUIS XIV STE 2, LAFAYETTE, LA 70508-5787
(337) 984-3408
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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