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Individual

DR. KURT E GAUTHIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2235 WORLEY DR, ALEXANDRIA, LA 71301
(318) 442-8915
(318) 442-2493
Mailing address
2235 WORLEY DR, ALEXANDRIA, LA 71301
(318) 442-8915
(318) 442-2493

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5104
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1851043
LA
Enumeration date
08/31/2006
Last updated
07/08/2007
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