Charles James Waguespack, D.D.S.

NPI #1164716569 in Raceland, Louisiana

Provider Information

NPI Number: 1164716569
Entity Type: Individual
Name: Charles James Waguespack, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jun 2, 2011
Last Updated: Jun 2, 2011

Practice Location

Address: 109 JOHNNY DUFRENE DR
City: Raceland
State: Louisiana
ZIP Code: 70394-2611
Phone: (985) 532-5303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

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La Vie Dental LLC	Dentist - General Practice	Raceland	AI Deep Dive

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