Wightman Family Dental

NPI 1013179746 - Dentist - 122300000X

NPI Details
NPI 1013179746
Enumeration Date 06/25/2008
Last Updated 06/25/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MARK JOSEPH MARK
Position DENTIST/OWNER
Phone (504) 272-0870
Fax (504) 302-9054
Practice Location
2212 PARIS RD
CHALMETTE LA, 70043-5025, US
Phone (504) 272-0870
Fax (504) 302-9054
Business Location
2212 PARIS RD
CHALMETTE LA, 70043-5025, US
Phone (504) 272-0870
Fax (504) 302-9054
Toxanomy
Taxonomy Code 122300000X
License State Louisiana
License Number 5746
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According to our database, Wightman Family Dental NPI is 1013179746, taxonomy code is 122300000X and license number is 5746, license state is located at Louisiana. Wightman Family Dental physically located at 2212 Paris Rd, Chalmette LA, 70043-5025. NPI Number 1033115704 has the healthcare provider type.

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1013179746 NPI number is provided on an as is basis without warranty of any kind. 1013179746 is maintained by the National Plan & Provider Enumeration System. The contents of Wightman Family Dental are for informational purposes only.