Individual
DR. EDWIN L BERCIER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 N POLK ST, RAYNE, LA 70578-6551
(337) 334-3581
(337) 334-2812
Mailing address
PO BOX 23, 300 NORTH POLK STREET, RAYNE, LA 70578-0023
(337) 334-3581
(337) 334-2812
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2266
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1822663
—
LA
Enumeration date
01/16/2007
Last updated
07/09/2007
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