Rae A. Gauthier, Dds, LLC DBA Ponchatoula Family Dentistry
NPI #1215446521 in Ponchatoula, Louisiana
Provider Information
- NPI Number
- 1215446521
- Entity Type
- Organization
- Organization Name
- Rae A. Gauthier, Dds, LLC DBA Ponchatoula Family Dentistry
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 29, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 430 E PINE ST
- City
- Ponchatoula
- State
- Louisiana
- ZIP Code
- 70454-2544
- Phone
- (985) 687-3806
Authorized Official
- Name
- RAE ANN GAUTHIER, DDS
- Title
- OWNER/DENTIST
- Phone
- (985) 386-8454
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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