DR. Gary Van Dewitt

NPI #1225454556 in Alexandria, Louisiana

Provider Information

NPI Number: 1225454556
Entity Type: Individual
Name: DR. Gary Van Dewitt
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Mar 11, 2014
Last Updated: Mar 11, 2014

Practice Location

Address: 1400 PETERMAN DR
City: Alexandria
State: Louisiana
ZIP Code: 71301-3432
Phone: (318) 443-0505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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