Individual
SCOTT CLAYTON KOGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
306 S BURNSIDE AVE, GONZALES, LA 70737-3444
(225) 621-2703
(225) 644-0493
Mailing address
306 S BURNSIDE AVE, GONZALES, LA 70737-3444
(225) 621-2703
(225) 644-0493
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3297
LA
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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