Organization
GONZALES DENTAL CLINIC, LTD. A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL KEITH GIROD DDS (PRESIDENT)
(225) 644-2183
Entity
Organization
Contact information
Practice address
318 E CORNERVIEW STREET, GONZALES, LA 70737-3152
(225) 644-2183
(225) 647-6975
Mailing address
318 E CORNERVIEW STREET, GONZALES, LA 70737-3152
(225) 644-2183
(225) 647-6975
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LA 3144
LA
Other
Enumeration date
02/05/2007
Last updated
06/13/2008
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