Individual
DR. JOHN C THERIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4702 JOHNSTON ST, SUITE D, LAFAYETTE, LA 70503-4501
(337) 984-3408
(337) 984-9898
Mailing address
412 MILL POND DR, YOUNGSVILLE, LA 70592-5668
(337) 857-9307
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5429
LA
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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