Individual
DR. BLAIR PAUL GREMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17563 OLD JEFFERSON HWY, PRAIRIEVILLE, LA 70769-3930
(225) 677-5000
(225) 677-5022
Mailing address
17563 OLD JEFFERSON HWY, PRAIRIEVILLE, LA 70769-3930
(225) 677-5000
(225) 677-5022
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5722
LA
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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