Individual
DR. KENNETH J GUILBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
258 ARCENEAUX RD, CARENCRO, LA 70520
(337) 896-3267
(337) 896-7852
Mailing address
PO BOX 700, 258 ARCENEAUX RD, CARENCRO, LA 70520
(337) 896-3267
(337) 896-7852
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3549
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1835498
—
LA
Enumeration date
04/20/2007
Last updated
07/08/2007
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