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Organization

TODAYS DENTAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONAS E GAUTHIER DDS (OWNER)
(318) 448-4540
Entity
Organization

Contact information

Practice address
5016 HIGHWAY 28 E, PINEVILLE, LA 71360-4737
(318) 448-4540
(318) 484-2837
Mailing address
5016 HIGHWAY 28 E, PINEVILLE, LA 71360-4737
(318) 448-4540
(318) 484-2837

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4961
LA
332BC3200X
Customized Equipment (DME)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1881147
LA
Enumeration date
04/23/2007
Last updated
06/09/2020
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