Individual
DR. MADELEINE PORTER GROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
600 RUE DE ONETTA, NEW IBERIA, LA 70563-2163
(337) 369-6587
Mailing address
600 RUE DE ONETTA, NEW IBERIA, LA 70563-2163
(337) 369-6587
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6667
LA
Other
Enumeration date
06/11/2016
Last updated
06/11/2016
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