Individual
DR. JONAS ERWIN GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5016 HIGHWAY 28 E, PINEVILLE, LA 71360-4737
(318) 448-4540
(318) 484-2837
Mailing address
5016 HIGHWAY 28 E, PINEVILLE, LA 71360-4737
(318) 448-4540
(318) 484-2837
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4961
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881147
—
LA
Enumeration date
01/12/2006
Last updated
05/22/2024
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