| NPI | 1467111203 |
|---|---|
| Former Legal Business Name | ADRIENNE A. REVIERE, DDS. LLC |
| Entity Type | Organization |
| Authorized Contact | MARJORIE BROUSSARD Business Manager 337-234-2349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2024-04-23 |