Organization
GARY V DEWITT DDS MS APC
Active
Other names
Gary V DeWitt DDS MS A Professional Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY VAN DEWITT DDS MS (OWNER PERIODONTIST)
(318) 443-0505
Entity
Organization
Contact information
Practice address
1400 PETERMAN DRIVE, ALEXANDRIA, LA 71301
(318) 443-0505
(318) 448-4751
Mailing address
1400 PETERMAN DRIVE, ALEXANDRIA, LA 71301
(318) 443-0505
(318) 448-4751
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3271
LA
Other
Enumeration date
02/09/2007
Last updated
06/26/2013
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