| Reynold L Gaubert Dmd | |
|
3839 West Congress Street Suite A Lafayette LA 70506 | |
| (337) 984-1059 | |
| (337) 984-2043 |
| Full Name | Reynold L Gaubert Dmd |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 3839 West Congress Street, Lafayette, Louisiana |
| Authorized Official Name and Position | Reynold Louis Gaubert (PRESIDENT) |
| Authorized Official Contact | 3379841059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reynold L Gaubert Dmd 3839 West Congress Street Suite A Lafayette LA 70506 Ph: (337) 984-1059 | Reynold L Gaubert Dmd 3839 West Congress Street Suite A Lafayette LA 70506 Ph: (337) 984-1059 |
| NPI Number | 1619044021 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 02/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619044021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 2533 (Louisiana) | Primary |
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