WALLACE TAYLOR VANNORTWICK

BATON ROUGE, LA
NPI1427195254
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0700X Dentist, Prosthodontics
(Licence: LA  3211)
Additional Taxonomies1223P0700X Dentist, Prosthodontics
(Licence: FL  DN 8075)
Enumeration Date2007-01-31
Last Update Date2007-07-08
Business Address
Dr. WALLACE TAYLOR VANNORTWICK D.D.S.
7942 GOODWOOD BLVD
BATON ROUGE, LA 70806-7629
Phone number: 225-925-1517
Mailing Address
Dr. WALLACE TAYLOR VANNORTWICK D.D.S.
7942 GOODWOOD BLVD
BATON ROUGE, LA 70806-7629
Phone number: 225-925-1517
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