Individual
DR. KURT S ROTHERMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
817 NORTH AVENUE K, CROWLEY, LA 70526
(337) 783-2113
(337) 783-2175
Mailing address
PO DRAWER 509, CROWLEY, LA 70527-0509
(337) 783-2113
(337) 783-2175
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4310
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1843105
—
LA
Enumeration date
01/25/2007
Last updated
07/08/2007
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