Individual
KACIE TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13317 HIGHWAY 44, GONZALES, LA 70737-6816
(225) 644-4000
Mailing address
42126 HIGHWAY 42, PRAIRIEVILLE, LA 70769-6056
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7332
LA
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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