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Boutte Dental Associates, Llc
Dental Clinic/Center in Boutte, Louisiana
NPI 1699090365

Boutte Dental Associates, Llc is a Dental Clinic/Center based in Boutte, LA and is specialized in Dental. Boutte Dental Associates, Llc practices in Boutte, LA. The NPI Number for Boutte Dental Associates, Llc is 1699090365 and holds a License No. 3427 (Louisiana).

The current practice location address for Boutte Dental Associates, Llc is 14243 Us Highway 190, Boutte, LA and can be reached out via phone at 985-785-0488.

Location: 14243 Us Highway 190, Boutte, LA, 70039
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699090365
Provider Name
Boutte Dental Associates, Llc
Credential
Provider Entity Type
Organization
Address
14243 Us Highway 190, Boutte, LA, 70039
Phone Number
985-785-0488
Fax Number
Provider Enumeration Date
04/06/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14243 Us Highway 190
City
Boutte
State
Louisiana
Zip
70039
Phone Number
985-785-0488
Fax Number
person
Provider Business Mailing Address Details
Address
14243 Us Highway 190
City
Boutte
State
Louisiana
Zip
70039
Phone Number
985-785-0488
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
3427 (Louisiana)
Definition
Definition to come...
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