Individual
DR. KYLE GRESHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1416 HAZEL ST, ARCADIA, LA 71001-4114
(318) 855-1426
Mailing address
407 LAKEFRONT DR, WEST MONROE, LA 71291-9043
(318) 376-5657
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7189
LA
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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