Organization
THERIOT FAMILY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C THERIOT DDS (DENIST)
(337) 984-3408
Entity
Organization
Contact information
Practice address
4702 JOHNSTON ST, SUITE D, LAFAYETTE, LA 70503-4501
(337) 984-3408
Mailing address
4702 JOHNSTON ST, SUITE D, LAFAYETTE, LA 70503-4501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5429
LA
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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