Organization
CAMELLIA DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE THIMMESCH DDS (DENTIST)
(337) 989-1268
Entity
Organization
Contact information
Practice address
1101 CAMELLIA BLVD., LAFAYETTE, LA 70508-7050
(337) 989-1268
Mailing address
1101 CAMELLIA BLVD., LAFAYETTE, LA 70508
(337) 989-1268
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6003
LA
Other
Enumeration date
07/05/2018
Last updated
04/29/2022
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