Individual
CLAYTON A. GAUTREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
302 N 3RD ST, MABANK, TX 75147-8611
(903) 887-4405
(903) 887-5040
Mailing address
302 N 3RD ST, MABANK, TX 75147-8611
(903) 887-4405
(903) 887-5040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12190
TX
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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