Edwin L Bercier IV DDS

NPI #1689968695 in Rayne, Louisiana

Provider Information

NPI Number: 1689968695
Entity Type: Organization
Organization Name: Edwin L Bercier IV DDS
Primary Specialty: Dentist
Enumeration Date: Jun 7, 2011
Last Updated: Jun 24, 2011

Practice Location

Address: 300 N POLK ST
City: Rayne
State: Louisiana
ZIP Code: 70578-6551
Phone: (337) 334-3581

Authorized Official

Name: DR. EDWIN L BERCIER IV, DDS
Title: OWNER
Phone: (337) 334-3581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Dentist	122300000X	Primary

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