Gary V Dewitt Dds Ms A Professional Corporation | |
1400 Peterman Drive Alexandria LA 71301 | |
(318) 443-0505 | |
(318) 448-4751 |
Full Name | Gary V Dewitt Dds Ms A Professional Corporation |
---|---|
Speciality | Dentist |
Location | 1400 Peterman Drive, Alexandria, Louisiana |
Authorized Official Name and Position | Gary Van Dewitt (OWNER PERIODONTIST) |
Authorized Official Contact | 3184430505 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gary V Dewitt Dds Ms A Professional Corporation 1400 Peterman Drive Alexandria LA 71301 Ph: (318) 443-0505 | Gary V Dewitt Dds Ms A Professional Corporation 1400 Peterman Drive Alexandria LA 71301 Ph: (318) 443-0505 |
NPI Number | 1457492878 |
---|---|
Provider Enumeration Date | 02/09/2007 |
Last Update Date | 06/26/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457492878 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 3271 (Louisiana) | Primary |
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