| Gonzales Dental | |
|
318 E Cornerview Gonzales LA 70737 | |
| (225) 644-2183 | |
| (225) 647-6975 |
| Full Name | Gonzales Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 318 E Cornerview, Gonzales, Louisiana |
| Authorized Official Name and Position | Joshua Keith Girod (OWNER/DENTIST) |
| Authorized Official Contact | 2256442183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gonzales Dental 17398 E Autumn Dr Prairieville LA 70769 Ph: (225) 938-9639 | Gonzales Dental 318 E Cornerview Gonzales LA 70737 Ph: (225) 644-2183 |
| NPI Number | 1639508302 |
|---|---|
| Provider Enumeration Date | 11/04/2013 |
| Last Update Date | 11/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639508302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6194 (Louisiana) | Primary |
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