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1518714211
LA VIE DENTAL LLC
RACELAND, LA
NPI
1518714211
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Entity Type
Organization
Authorized Contact
CHARLES JAMES WAGUESPACK
Owner/Dentist
985-532-5303
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2024-05-01
Last Update Date
2024-05-01
Business Address
LA VIE DENTAL LLC
109 JOHNNY DUFRENE DR
RACELAND, LA 70394-2611
Phone number: 985-532-5303
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Mailing Address
LA VIE DENTAL LLC
P O DRAWER E
MATHEWS, LA 70375
Phone number: 985-532-5303
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