Organization
ROTHERMEL FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT ROTHERMEL DDS (DENTIST)
(337) 783-2113
Entity
Organization
Contact information
Practice address
817 N AVENUE K, CROWLEY, LA 70526-3850
(337) 783-2113
(337) 783-2175
Mailing address
817 N AVENUE K, CROWLEY, LA 70526-3850
(337) 783-2113
(337) 783-2175
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4310
LA
122300000X
Dentist
6570
LA
124Q00000X
Dental Hygienist
3938
LA
124Q00000X
Dental Hygienist
4418
LA
126800000X
Dental Assistant
—
—
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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