| NPI | 1457492878 |
|---|---|
| Other Name | GARY V DEWITT DDS MS A PROFESSIONAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | GARY VAN DEWITT Owner Periodontist 318-443-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: LA 3271) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2013-06-26 |