| Smart Dental Care Gonzales Llc | |
|
306 S Burnside Ave Gonzales LA 70737-3444 | |
| (225) 621-2703 | |
| Not Available |
| Full Name | Smart Dental Care Gonzales Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 306 S Burnside Ave, Gonzales, Louisiana |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smart Dental Care Gonzales Llc 306 S Burnside Ave Gonzales LA 70737-3444 Ph: (225) 621-2703 | Smart Dental Care Gonzales Llc 306 S Burnside Ave Gonzales LA 70737-3444 Ph: (225) 621-2703 |
| NPI Number | 1306451497 |
|---|---|
| Provider Enumeration Date | 09/15/2020 |
| Last Update Date | 09/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306451497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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