Individual
GRANT PEARCE REGGIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
806 JEFFERSON TER, NEW IBERIA, LA 70560-5727
(337) 365-4945
Mailing address
7330 GENERAL HAIG ST, NEW ORLEANS, LA 70124-3531
(504) 312-2769
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7510
LA
Other
Enumeration date
03/11/2024
Last updated
04/17/2025
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