Organization
REYNOLD L GAUBERT DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REYNOLD LOUIS GAUBERT JR. DMD (PRESIDENT)
(337) 984-1059
Entity
Organization
Contact information
Practice address
3839 WEST CONGRESS STREET, SUITE A, LAFAYETTE, LA 70506
(337) 984-1059
(337) 984-2043
Mailing address
3839 WEST CONGRESS STREET, SUITE A, LAFAYETTE, LA 70506
(337) 984-1059
(337) 984-2043
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2533
LA
Other
Enumeration date
11/29/2006
Last updated
02/29/2012
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