Organization
THERIOT FAMILY DENTAL CARE- BATON ROUGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNIE THERIOT (MANAGER/OWNER)
(337) 258-4939
Entity
Organization
Contact information
Practice address
14608 S HARRELLS FERRY RD, BATON ROUGE, LA 70816-2926
(225) 751-9966
Mailing address
14608 S HARRELLS FERRY RD, BATON ROUGE, LA 70816-2926
(225) 751-9966
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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