Organization
OUTREACH DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY J FOLSE DDS (PRESIDENT/OWNER)
(337) 993-0977
Entity
Organization
Contact information
Practice address
510 GUILBEAU RD STE C, LAFAYETTE, LA 70506-8415
(337) 993-0977
(337) 993-0978
Mailing address
510 GUILBEAU RD STE C, LAFAYETTE, LA 70506-8415
(337) 993-0977
(337) 993-0978
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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