Organization · Type 2 NPI

Boutte Dental Associates, LLC

Dental Clinic/Center · Boutte, LA

NPI number 1699090365 Active

Practice location

14243 US Highway 190
Boutte, LA 70039

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X3427 (LA)

Dental Clinic/Center: Definition to come...

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About NPI 1699090365

Boutte Dental Associates, LLC's National Provider Identifier is 1699090365, issued on Apr 6, 2010. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Boutte, LA. The record was last updated on Apr 6, 2010.