DR. Wallace Taylor Vannortwick, D.D.S.
NPI #1427195254 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1427195254
- Entity Type
- Individual
- Name
- DR. Wallace Taylor Vannortwick, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Prosthodontics
- Credential
- D.D.S.
- Enumeration Date
- Jan 31, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 7942 GOODWOOD BLVD
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70806-7629
- Phone
- (225) 925-1517
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Prosthodontics — Prosthodontics |
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