Individual
MICHAEL GARY ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
307 GRETNA BLVD, SUITE A, GRETNA, LA 70053
(504) 361-5367
(504) 368-4846
Mailing address
307 GRETNA BLVD, SUITE A, GRETNA, LA 70053
(504) 361-5367
(504) 368-4846
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3753
LA
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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