Gary V Dewitt Dds Ms Apc

NPI 1457492878 - Dentist - 122300000X

NPI Details
NPI 1457492878
Enumeration Date 02/09/2007
Last Updated 06/26/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GARY VAN GARY
Position OWNER PERIODONTIST
Phone (318) 443-0505
Fax (318) 448-4751
Practice Location
1400 PETERMAN DRIVE
ALEXANDRIA LA, 71301, US
Phone (318) 443-0505
Fax (318) 448-4751
Business Location
1400 PETERMAN DRIVE
ALEXANDRIA LA, 71301, US
Phone (318) 443-0505
Fax (318) 448-4751
Toxanomy
Taxonomy Code 122300000X
License State Louisiana
License Number 3271
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According to our database, Gary V Dewitt Dds Ms Apc NPI is 1457492878, taxonomy code is 122300000X and license number is 3271, license state is located at Louisiana. Gary V Dewitt Dds Ms Apc physically located at 1400 Peterman Drive, Alexandria LA, 71301. NPI Number 1033115704 has the healthcare provider type.

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1457492878 NPI number is provided on an as is basis without warranty of any kind. 1457492878 is maintained by the National Plan & Provider Enumeration System. The contents of Gary V Dewitt Dds Ms Apc are for informational purposes only.