| NPI | 1639508302 |
|---|---|
| Doing Business As | GONZALES DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOSHUA KEITH GIROD Owner/Dentist 225-644-2183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: LA 6194) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |