Individual
PATRICK BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2726 KALISTE SALOOM RD, LAFAYETTE, LA 70508-7162
(337) 984-9414
Mailing address
2726 KALISTE SALOOM RD, LAFAYETTE, LA 70508-7162
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7295
LA
Other
Enumeration date
05/03/2022
Last updated
07/14/2022
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