Organization
G. KIRK SOILEAU, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY KIRK SOILEAU DDD (OWNER)
(337) 363-2514
Entity
Organization
Contact information
Practice address
113 CALCASIEU ST, VILLE PLATTE, LA 70586-4401
(337) 363-2514
(337) 363-2486
Mailing address
PO BOX 87, VILLE PLATTE, LA 70586-0087
(337) 363-2514
(337) 363-2486
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1814784
—
LA
05
—
1834726
—
LA
Enumeration date
03/09/2007
Last updated
08/22/2020
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