Individual
ANNETTE D. THERIOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1502 MARTENS DR, HAMMOND, LA 70401-1620
(985) 345-4242
Mailing address
1502 MARTENS DR, HAMMOND, LA 70401-1620
(985) 345-4242
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4545
LA
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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