Individual
DR. CARL B GONSOULIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
126 HOSPITAL DR, LAFAYETTE, LA 70503-2819
(337) 232-0689
(337) 234-7395
Mailing address
126 HOSPITAL DR, LAFAYETTE, LA 70503-2819
(337) 232-0689
(337) 234-7395
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2355
LA
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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