GANTT NICHOLSON DEJEAN

OPELOUSAS, LA
NPI1083752422
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: LA  2435)
Enumeration Date2007-02-01
Last Update Date2007-07-08
Business Address
-- GANTT NICHOLSON DEJEAN DDS MS
1604 KERR ST SUITE 101
OPELOUSAS, LA 70570
Phone number: 337-948-8253
Mailing Address
-- GANTT NICHOLSON DEJEAN DDS MS
1604 KERR ST SUITE 101
OPELOUSAS, LA 70570
Phone number: 337-948-8253
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