Individual
DR. MATTHEW SKRABLE GANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
103 BELVIEW RD, LEESVILLE, LA 71446-2902
(337) 239-2509
(337) 239-9764
Mailing address
103 BELVIEW RD, LEESVILLE, LA 71446-2902
(337) 239-2509
(337) 239-9764
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6095
LA
1223G0001X
General Practice Dentistry
6095
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6095
OUT OF NETWORK
LA
Enumeration date
09/29/2010
Last updated
01/26/2022
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