Individual
DR. NICK G GOVERNALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
125 E 5TH ST, NATCHITOCHES, LA 71457-5724
(318) 352-3830
(318) 352-5744
Mailing address
125 E 5TH ST, NATCHITOCHES, LA 71457-5724
(318) 352-3830
(318) 352-5744
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4482
LA
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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