ADAM BERTHELOT

COVINGTON, LA
NPI1396272480
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: LA  6741)
Enumeration Date2017-05-19
Last Update Date2017-05-19
Business Address
ADAM BERTHELOT
842 COLLINS BLVD
COVINGTON, LA 70433-2759
Phone number: 985-809-1889
Mailing Address
ADAM BERTHELOT
6005 CHATEAU LOIRE CIR
MANDEVILLE, LA 70448-7055
Phone number: