G. Kirk Soileau, Dds | |
113 Calcasieu St Ville Platte LA 70586-4401 | |
(337) 363-2514 | |
(337) 363-2486 |
Full Name | G. Kirk Soileau, Dds |
---|---|
Speciality | Dentist |
Location | 113 Calcasieu St, Ville Platte, Louisiana |
Authorized Official Name and Position | Gregory Kirk Soileau (OWNER) |
Authorized Official Contact | 3373632514 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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G. Kirk Soileau, Dds Po Box 87 Ville Platte LA 70586-0087 Ph: (337) 363-2514 | G. Kirk Soileau, Dds 113 Calcasieu St Ville Platte LA 70586-4401 Ph: (337) 363-2514 |
NPI Number | 1598897217 |
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Provider Enumeration Date | 03/09/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598897217 | NPI | - | NPPES |
1814784 | Medicaid | LA | |
1834726 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |