| Ascension Children's Dental | |
|
14639 Airline Hwy Ste 111 Gonzales LA 70737-6632 | |
| (225) 402-4118 | |
| Not Available |
| Full Name | Ascension Children's Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 14639 Airline Hwy Ste 111, Gonzales, Louisiana |
| Authorized Official Name and Position | Erin M. Matturin (OWNER DOCTOR) |
| Authorized Official Contact | 2254024118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Children's Dental 14639 Airline Hwy Ste 111 Gonzales LA 70737-6632 Ph: (225) 402-4118 | Ascension Children's Dental 14639 Airline Hwy Ste 111 Gonzales LA 70737-6632 Ph: (225) 402-4118 |
| NPI Number | 1912407842 |
|---|---|
| Provider Enumeration Date | 02/16/2018 |
| Last Update Date | 02/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912407842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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