RANDALL M. WILK, MD, DDS, PHD, APMC

GRETNA, LA
NPI1285849166
Entity TypeOrganization
Authorized ContactRANDALL M. WILK
Owner
504-362-6135
Organization Subpart ?No
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
(Licence: LA  022962)
Additional Taxonomies1223S0112X Dentist Oral and Maxillofacial Surgery
(Licence: LA  4669)
Enumeration Date2007-05-13
Last Update Date2013-10-11
Business Address
RANDALL M. WILK, MD, DDS, PHD, APMC
120 MEADOWCREST ST, #300
GRETNA, LA 70056
Phone number: 504-362-6135
Mailing Address
RANDALL M. WILK, MD, DDS, PHD, APMC
120 MEADOWCREST ST, #300
GRETNA, LA 70056
Phone number: 504-362-6135