| Gary V Dewitt Dds Ms A Professional Corporation | |
|
1400 Peterman Drive Alexandria LA 71301 | |
| (318) 443-0505 | |
| (318) 448-4751 |
| Full Name | Gary V Dewitt Dds Ms A Professional Corporation |
|---|---|
| Speciality | Dentist |
| Location | 1400 Peterman Drive, Alexandria, Louisiana |
| Authorized Official Name and Position | Gary Van Dewitt (OWNER PERIODONTIST) |
| Authorized Official Contact | 3184430505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary V Dewitt Dds Ms A Professional Corporation 1400 Peterman Drive Alexandria LA 71301 Ph: (318) 443-0505 | Gary V Dewitt Dds Ms A Professional Corporation 1400 Peterman Drive Alexandria LA 71301 Ph: (318) 443-0505 |
| NPI Number | 1457492878 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 06/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457492878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3271 (Louisiana) | Primary |
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