Individual
MR. GORDY LOUIS LANDRY JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2617 SOUTH DR, ABBEVILLE, LA 70510-4044
(337) 893-2614
(337) 893-4662
Mailing address
900 LIVE OAK ST, ABBEVILLE, LA 70510-6558
(337) 893-7497
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2457
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1824577
—
LA
Enumeration date
09/14/2005
Last updated
07/08/2007
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