Individual
GABRIELLE ST GERMAIN COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
812 PARK AVE, MANDEVILLE, LA 70448-4949
(985) 626-9791
(985) 727-9791
Mailing address
812 PARK AVE, MANDEVILLE, LA 70448-4949
(985) 626-9791
(985) 727-9791
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2018019128
MO
1223G0001X
General Practice Dentistry
Primary
6845
LA
Other
Enumeration date
06/22/2018
Last updated
10/03/2023
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