Outreach Dentistry

NPI 1205006780 - Dentist - 122300000X

NPI Details
NPI 1205006780
Enumeration Date 03/11/2008
Last Updated 03/11/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GREGORY J GREGORY
Position PRESIDENT/OWNER
Phone (337) 993-0977
Fax (337) 993-0978
Practice Location
510 GUILBEAU RD STE C
LAFAYETTE LA, 70506-8415, US
Phone (337) 993-0977
Fax (337) 993-0978
Business Location
510 GUILBEAU RD STE C
LAFAYETTE LA, 70506-8415, US
Phone (337) 993-0977
Fax (337) 993-0978
Toxanomy
Taxonomy Code 122300000X
License State
License Number
Remove 1205006780 NPI Number
 

According to our database, Outreach Dentistry NPI is 1205006780, taxonomy code is 122300000X Outreach Dentistry physically located at 510 Guilbeau Rd Ste C, Lafayette LA, 70506-8415. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1205006780 NPI number is provided on an as is basis without warranty of any kind. 1205006780 is maintained by the National Plan & Provider Enumeration System. The contents of Outreach Dentistry are for informational purposes only.